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With or without insurance or Medicare, there are additional ways to reduce out-of-pocket expenses for Trintellix. Without private insurance or Medicare prescription drug coverage, the cost of Trintellix varies depending on the pharmacy and location. In some cases, insurance plans may also implement step therapy protocols.
No generic version of Januvia is available in the United States, but this could change in 2026 when the main patent expires. The first patent, covering the dihydrogen phosphate salt of sitagliptin, expires on November 24, 2026. Polycystic ovary syndrome (PCOS) Januvia can also be prescribed off-label to treat PCOS.
These findings have spurred further research, with ongoing clinical trials set to conclude in October 2026. Always consult a healthcare provider for the appropriate dosage, and closely follow their instructions for maximum safety and effectiveness, especially if you’re using the medication off-label for a condition other than diabetes.
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