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Sitagliptin

Also known as Januvia (us), Istavel (india)

Diabetes & Insulin
Save $312/mo
63× cheaper

An oral DPP-4 inhibitor for type 2 diabetes.

United States
$317
per month
India
$5
per month
You save
−98%
save $312/mo · 98% cheaper
4M US scripts/yr$1.3B potential annual savings$1.3B US spend/yr
Building 3D structure…
Drag to rotate · 3D structureC16H15F6N5O

SMILES: C1CN2C(=NN=C2C(F)(F)F)CN1C(=O)C[C@@H](CC3=CC(=C(C=C3F)F)F)N

Compare the price
US price$317per month
India price$5per month
You save$31298% less

Based on 30 tablets per month. US $10.55 vs India $0.17 per tablet.

Total over 1 periodSave $312$317$5
The bigger picture

Sitagliptin is filled about 4M times a year under Medicare Part D. At the prices above, that works out to roughly:

Est. annual US spend
$1.3B
If sourced from India
$20.3M
Potential annual savings
$1.3B
98%

Rough estimate. Based on Medicare Part D prescription volume (not the entire US market) scaled by the representative monthly price — actual totals depend on dose, duration and coverage.