You can get a prescription for Januvia after an online appointment with a Sesame provider. Your provider will review your health history and current diabetic needs to determine if Januvia is a good choice for you. If it is approved, your prescription can be sent to an online pharmacy for delivery or to a local pharmacy for pickup.

All prescriptions are at the discretion of the provider.

Januvia is primarily prescribed for the management of type 2 diabetes, a chronic condition characterized by elevated blood sugar levels. It is used in conjunction with a healthy diet and exercise regimen to help control blood glucose levels and prevent complications associated with uncontrolled diabetes.

Januvia does not treat type 1 diabetes, an autoimmune condition in which your body's immune system attacks your pancreas with antibodies, causing the organ to stop producing insulin. If you have been diagnosed with type 1 diabetes, your healthcare provider will prescribe insulin for you to manage your condition.

No, Januvia is only available by prescription from a licensed provider.

Are you looking for a Januvia prescription or refill? Sesame providers can prescribe Januvia after an online appointment.

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Before starting Januvia, inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with Januvia.

Tell your healthcare provider if you have any of the following conditions:

• Alcoholism
• Gallstones or gallbladder disease
• Heart failure
• High triglyceride levels
• History of pancreatitis
• Kidney disease

Tell your provider if you are pregnant, planning on becoming pregnant, or breastfeeding. It is not known if Januvia is safe during pregnancy or breastfeeding.

Januvia is not for people with type 1 diabetes. Your provider will give you different medications to manage your diabetes, including insulin.

Januvia can interact with many other medications. Tell your provider if you take any of the following medications:

• ACE inhibitors
• ARBs
• Beta-blockers
• Corticosteroids
• Cyclosporine
• Digoxin
• Diuretics
• Oral contraceptives
• Other diabetic medications

This is not a list of all drug interactions with Januvia.

Januvia can cause mild side effects that may go away over time as your body adjusts to the medication.

Common side effects include:

• Common cold
• Diarrhea
• Headache
• Nausea
• Nose and throat irritation
• Swelling of the face, hands, legs, or feet

More severe side effects include:

• Allergic reactions
• Joint pain
• Skin rashes
• Low blood sugar
• Severe upper abdominal pain
• Jaundice
• Fever
• Increased heart rate
• Shortness of breath
• Sudden weight gain
• Changes in urination

Get medical help right away for signs of an allergic reaction or any severe symptoms.

The cost of Januvia can vary depending on whether you are using insurance or paying out of pocket. Most commercial plans will pay for Januvia, but copays and deductibles can vary by plan.

If you are paying out of pocket, the price will depend on whether you are getting the brand-name or generic medication. An authorized generic of Januvia, Zituvio, was approved in 2023 as an alternative to Januvia. While it is an authorized generic, it is not considered interchangeable.

The generic version of Januvia, sitagliptin, is expected to be released in 2026. The generic version should cost considerably less than Januvia.

The price of Januvia may also vary depending on the location, pharmacy, strength, and quantity. An alternative sitagliptin product, Zituvio, was approved in 2023 as an alternative to Januvia. While it contains the same active moiety, it is not considered interchangeable.

Januvia is a DPP-4 inhibitor, also known as a gliptin.

Other DPP-4 inhibitors include:

• Alogliptin
• Saxagliptin
• Tradjenta

DPP-4 inhibitors are also combined with other medications, including metformin and SGLT2 inhibitors. These medications include:

• Janumet
• Jentadueto
• Kombiglyze XR
• Glyxambi