Sotagliflozin (brand name Sotagliflozin) is a specialty drug used to help control blood glucose in people with type‑1 diabetes (and, in some cases, type‑2). Because it’s a new, dual‑action SGLT1/2 inhibitor, it tends to be priced higher than the more established SGLT‑2 blockers (e.g., canagliflozin, dapagliflozin).
Rough price ranges (U.S. market)
| Formulation |
Typical wholesale cost (WAC) |
Approx. retail cost* |
| 200 mg tablet (30 days) |
$1,400–$1,800 |
$800–$1,200 |
| 400 mg tablet (30 days) |
$1,700–$2,200 |
$1,000–$1,500 |
*Retail price is what you might see at a pharmacy “cash‑only” rate. Most patients have insurance, so the out‑of‑pocket cost is usually much lower—often $200–$400/month after insurance copays or deductibles.
These figures are based on the drug’s Whitelisted Acquisition Cost (WAC) as of late 2023 and early 2024. Prices can shift with new market dynamics, insurance negotiations, or changes in the manufacturer’s list price.
How the cost is determined
- Manufacturer list price (WAC) – the baseline cost that pharmacies pay the drug manufacturer.
- Negotiated discounts – most insurers negotiate discounts (e.g., “rebates” or “bulk‑purchase” agreements) that reduce the actual cost to the pharmacy and, subsequently, to the patient.
- Insurance tiers & copays – specialty drugs often sit on a higher tier (e.g., tier 4 or 5), which means higher copays or coinsurance (often 20‑30 % of the drug’s price).
- Patient assistance programs – Pfizer (the current manufacturer) offers a Sotagliflozin Patient Assistance Program that may reduce the out‑of‑pocket cost for qualifying patients without insurance or with high deductible plans.
What you can do to find out your exact cost
| Step |
What to do |
Why it matters |
| 1 |
Ask your pharmacy |
They can tell you the exact retail price (plus any discount applied) and whether your insurance is on the drug’s formulary. |
| 2 |
Check your insurance |
Log in to your insurer’s portal or call the customer‑service line to confirm coverage tier, copay, and deductible status. |
| 3 |
Visit the manufacturer’s website |
Pfizer’s patient assistance page gives eligibility criteria and a tool to estimate your out‑of‑pocket cost. |
| 4 |
Use online cost‑calculator tools |
Sites like GoodRx, RxSaver, and HealthCare.gov let you input your plan details and get a price estimate. |
Quick FAQ
| Question |
Short answer |
| Is there a generic sotagliflozin? |
No. No generic version is currently approved. |
| Can I get a discount for paying cash? |
Some pharmacies offer a cash‑only discount (often 5‑10 %) if you pay upfront. |
| Does the price differ in Canada or the EU? |
Yes. In Canada, the drug is priced at roughly CAD 1,200–1,500/month; in the EU, national health systems negotiate prices that can be significantly lower. |
| What is the typical duration of therapy? |
Many patients take sotagliflozin as a daily 200 mg tablet (or 400 mg in certain clinical trials) for chronic glucose control. |
Bottom line
- Wholesale cost (WAC): ~$1,400–$2,200/month (depending on dose).
- Typical out‑of‑pocket cost with insurance: ~$200–$400/month (varies by plan).
- Cash‑only retail: ~$800–$1,500/month.
If you’re considering sotagliflozin, the best next step is to talk with your primary‑care provider and pharmacist, then contact your insurer or the drug’s manufacturer for a precise estimate that reflects your specific insurance coverage and any patient‑assistance programs you might qualify for.