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Trikafta vs Januvia

Side-by-side drug price comparison from Medicare Part D data

Reviewed by DrugPrice Editorial Team · Updated

Verdict

Januvia costs 98% less per claim than Trikafta ($219.00 vs $13935.00). Trikafta has a generic alternative available. Total Medicare spending: Trikafta at $3.5B vs Januvia at $2.7B.

MetricTrikaftaJanuvia
Avg Cost per Claim
Average cost Medicare pays per prescription claim
$13,935$219*
Total Medicare Spending
Total Medicare Part D spending on this drug
$3.5B$2.7B
Total Claims248,00012,480,000
Year-over-Year Change
Price change from prior year (lower is better for patients)
18.4%-12.3%*
Generic AvailableYesNo
ConditionCystic FibrosisDiabetes
Total Beneficiaries18,0001,560,000

Januvia costs 98% less per claim than Trikafta ($219.00 vs $13935.00). Trikafta has a generic alternative available. Total Medicare spending: Trikafta at $3.5B vs Januvia at $2.7B.

Explore More

The side-by-side above pulls the CMS Medicare Part D Drug Spending data data for both Trikafta and Januvia. What follows is the interpretation — which specific axes carry the most weight for Trikafta versus Januvia, and which differences are large enough to influence a real decision.

For households or analysts using this comparison as a decision input, the right framing is usually not "which is better" in aggregate but "which is better for the specific decision in front of you." CMS Medicare Part D Drug Spending data captures the raw data; the framing depends on whether the question is investment, residency, planning, or research.

Source: CMS Medicare Part D Spending, 2026.