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Kazano Cost, Generic and Savings
- Lowest U.S. online pharmacy price
- Not available
- Lowest international online pharmacy price
- $1.41 per tablet$269.95 for 90 days (180 tablets), shipping included · brand Kazano 12.5 mg/1000 mg, not FDA-approved · ships from Australia
Generic alogliptin and metformin 12.5 mg/1000 mg (not FDA-approved · ships from India) from $146.63
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Quick answerAs of Nov 12, 2026, brand Kazano 12.5 mg/1000 mg costs from $255.76 for 90 days (180 tablets) at online pharmacies abroad we compared. We found no 2026 U.S. list price for brand Kazano. An authorized generic, alogliptin and metformin, is also sold in the U.S.
Name check: Kazano combines alogliptin (Nesina) with metformin; Oseni (alogliptin and pioglitazone) is different. Takeda sells Kazano as Vipdomet in the U.K. and EU, Nesina Met in Australia.
Compare Kazano prices from licensed online pharmacies
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Alogliptin/MetforminNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.12.5 mg/1000 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Indoco Remedies | $131.68for 180 tablets$0.73 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $146.63 for 90 days= $146.63 for 90 daysincl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | KAZANO 12.5MG/1000MG TABLET 180 (GENERIC ALOGLIPTIN/METFORMIN FROM INDIA)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.12.5 mg/1000 mg · generic · Filled in IndiaMade for sale in India.Product of India | $144for 180 tablets$0.80 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $158.95 for 90 days= $158.95 for 90 daysincl. $14.95 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Nesina Met12.5 mg/500 mg · brand · Filled in AustraliaProduct of Australia | $182.69for 168 tablets$1.09 per tablet | Fee not publishedDelivery time not stated | $182.69 for 84 days= $195.74 for 90 days+ shippingWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Nesina Met12.5 mg/500 mg · brand · Filled in AustraliaProduct of Australia | $193.99for 168 tablets$1.15 per tablet | Fee not publishedDelivery time not stated | $193.99 for 84 days= $207.85 for 90 days+ shippingWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | KAZANO12.5 mg/500 mg · brand · Filled in AUSTRALIAMade for sale in AUSTRALIA.Product of Australia | $232.91for 168 tablets$1.39 per tablet | FreeDelivery time not stated | $232.91 for 84 days= $249.55 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | KAZANO12.5 mg/500 mg · brand · Filled in AUSTRALIAMade for sale in AUSTRALIA.Product of Australia | $235.30for 168 tablets$1.40 per tablet | FreeDelivery time not stated | $235.30 for 84 days= $252.11 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | KAZANO12.5 mg/1000 mg · brand · Filled in AUSTRALIAMade for sale in AUSTRALIA.Product of Australia | $238.71for 168 tablets$1.42 per tablet | FreeDelivery time not stated | $238.71 for 84 days= $255.76 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | KAZANO12.5 mg/1000 mg · brand · Filled in AUSTRALIAMade for sale in AUSTRALIA.Product of Australia | $241.10for 168 tablets$1.44 per tablet | FreeDelivery time not stated | $241.10 for 84 days= $258.32 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | KAZANO 12.5MG/1000MG TABLET 168 (NESINA MET BRAND FROM AUSTRALIA)12.5 mg/1000 mg · brand · Filled in AustraliaProduct of Australia | $237for 168 tablets$1.41 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $251.95 for 84 days= $269.95 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Kazano (Australia pack, ships from New Zealand)12.5 mg/500 mg · brand · Filled in New ZealandMaker listed by pharmacy: Takeda Pharmaceutical Co.Made for Australia | $245for 168 tablets$1.46 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $254.95 for 84 days= $273.16 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Nesina Met12.5 mg/500 mg · brand · Filled in AustraliaMaker listed by pharmacy: Takeda | $253.13for 168 tablets$1.51 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $268.08 for 84 days= $287.23 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Nesina Met12.5 mg/1000 mg · brand · Filled in AustraliaMaker listed by pharmacy: Takeda | $258.56for 168 tablets$1.54 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $273.51 for 84 days= $293.05 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Kazano (Australia pack, ships from New Zealand)12.5 mg/1000 mg · brand · Filled in New ZealandMaker listed by pharmacy: Takeda Pharmaceutical Co.Made for Australia | $265for 168 tablets$1.58 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $274.95 for 84 days= $294.59 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | Nesina Met12.5 mg/500 mg · brand · Filled in AustraliaProduct of Australia | $269.65for 168 tablets$1.61 per tablet | $9.95Delivery time not stated | $279.60 for 84 days= $299.57 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy G | Kazano12.5 mg/1000 mg · brand · Filled in United KingdomMaker listed by pharmacy: Takeda Pharmaceutical Co. | $93per 56 tablets · 3 packs = $279$1.66 per tablet | $9.95Pharmacy's estimate: 4–6 weeks | $288.95 for 84 days= $309.59 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | Vipdomet (UK/EU pack, ships from United Kingdom)12.5 mg/1000 mg · brand · Filled in United KingdomProduct of UK/EU | $99.99per 56 tablets · 3 packs = $299.97$1.79 per tablet | $9.95Delivery time not stated | $309.92 for 84 days= $332.06 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy I | Alogliptin-Metformin HCL 12.5-1000mg Tablets12.5 mg/1000 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $349.20for 180 tablets$1.94 per tablet | $5Pharmacy's estimate: 2–8 business days | $354.20 for 90 days= $354.20 for 90 daysincl. $5 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletLicensed U.S. pharmacy I | Alogliptin-Metformin HCL 12.5-500mg Tablets12.5 mg/500 mg · genericU.S. pharmacy; maker not listed on its price pageShips from United StatesShips within the U.S. (no customs) · checked Nov 12, 2026 | $349.20for 180 tablets$1.94 per tablet | $5Pharmacy's estimate: 2–8 business days | $354.20 for 90 days= $354.20 for 90 daysincl. $5 shippingChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy H | Nesina Met12.5 mg/1000 mg · brand · Filled in AustraliaProduct of Australia | $323.56for 168 tablets$1.93 per tablet | $9.95Delivery time not stated | $333.51 for 84 days= $357.33 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy A | Kazano12.5 mg/1000 mg · brand · Filled in CanadaMaker listed by pharmacy: Takeda C/O Accuristix | $376.94for 168 tablets$2.24 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $391.89 for 84 days= $419.88 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy JU.S. shipping limited | Kazano (Alogliptin/Metformin) - Known as Nesina Met (Australia)12.5 mg/500 mg · brand · Filled in AustraliaProduct of Australia | $242for 168 tablets$1.44 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $256.95 for 84 days= $275.30 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy JU.S. shipping limited | Kazano (Alogliptin/Metformin) - Known as Vipdomet (United Kingdom)12.5 mg/1000 mg · brand · Filled in United KingdomProduct of United Kingdom | $252for 168 tablets$1.50 per tablet | $14.95Pharmacy's estimate: 8–14 business days | $266.95 for 84 days= $286.02 for 90 daysWorked out from an 84-day orderChecked Nov 12 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Kazano from Canada?
90-day cost = 180 tablets at the usual dose of 2 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 12, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. U.S. rows: the cash price a U.S. pharmacy published on its own website on the date shown, for whole fills, plus its standard shipping; no insurance or discount cards. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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Join to See PharmaciesAlready a member? Sign inKazano price by strength
| Strength | Lowest brand90 days | Lowest generic abroad90 days, not FDA-approved | Price per tablet |
|---|---|---|---|
| Kazano 12.5 mg/1000 mg | $255.76 | $146.63 | $1.42 brand · $0.73 generic |
| Kazano 12.5 mg/500 mg | $249.55 | — | $1.39 brand |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per tablet is for that lowest pack, before shipping. Prices checked Nov 12, 2026.
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90-day prices from 6 licensed pharmacies abroad shipping to the U.S.: $146.63 to $419.88, any strength, shipping included.
Jump to: U.S. cost · Medicare · Coupons & savings · Generic Kazano · Similar drugs · Uses · FAQ
Kazano (alogliptin and metformin) is a tablet taken twice a day with food, along with diet and exercise, to lower blood sugar in adults with type 2 diabetes.
Kazano cost at a glance
- U.S. list price for the brand: we found no 2026 list price filed for brand Kazano, so we don't show one (Texas DSHS). Ask your pharmacist for the cash price.
- Generic Kazano is sold in the U.S. as an authorized generic. Padagis has sold alogliptin and metformin tablets made under Takeda's own FDA approval since April 2016 (FDA drug listing). The FDA Orange Book lists no other company's generic (FDA Orange Book).
- How we count: 2 tablets a day. The label says to take Kazano twice a day with food, starting at a dose based on your current treatment and not going above 25 mg alogliptin and 2,000 mg metformin a day (DailyMed). The first number is alogliptin and the second is metformin.
- From online pharmacies abroad: $255.76 to $419.88 for 90 days (180 tablets) of brand Kazano 12.5 mg/1000 mg, including packs sold as Vipdomet or Nesina Met, shipping included (checked Nov 12, 2026).
- With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).
How much does Kazano cost in the U.S.?
| If you have | What Kazano costs | Source |
|---|---|---|
| No insurance (brand Kazano) | We found no 2026 U.S. list price filed for brand Kazano. Ask your pharmacist for the cash price. | Texas DSHS 2026 WAC report |
| No insurance (generic alogliptin and metformin) | An authorized generic, alogliptin and metformin, is sold in the U.S. by Padagis. We found no 2026 list price filed for it. Ask your pharmacist for the cash price. | FDA drug listing |
| Private or employer insurance | Your copay depends on your plan and whether it covers brand Kazano or the authorized generic. Ask your plan or pharmacist. | FDA drug listing |
| Medicare Part D | Your cost depends on your plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100. | Medicare.gov |
| Medicaid | Your state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office. | Medicaid.gov |
Brand Kazano is sold in the U.S. by Takeda in bottles of 60 and 500 tablets (DailyMed). The Texas 2026 drug price filing has no list price for Kazano or for generic alogliptin and metformin, so this page doesn't show one. Ask your pharmacist for the cash price of both.
Kazano cost with Medicare in 2026
In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for Kazano or the authorized generic depends on your plan's drug list.
| Medicare Part D | What Kazano costs | Source |
|---|---|---|
| Part D deductible | No Medicare drug plan may have a deductible above $615 in 2026. Some plans have none. | Medicare.gov |
| Yearly out-of-pocket cap | Once your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year. | Medicare.gov |
Kazano coupons and savings programs
We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.
Checking more than one medicine? Use the free Medicare Drug Cost Check.
eDrugSearch does not offer its own Kazano coupons. eDrugSearch has no coupons of its own. We found no Takeda savings program for Kazano. These programs may help:
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Is there a generic Kazano?
Yes, as an authorized generic. Padagis has sold alogliptin and metformin 12.5 mg/500 mg and 12.5 mg/1000 mg tablets since April 8, 2016. It's Takeda's own medicine, made under the Kazano approval and sold under the generic name. The FDA Orange Book lists no other company's generic.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 12.5 mg/500 mg | Yes | Padagis (authorized generic) | Apr 8, 2016 |
| 12.5 mg/1000 mg | Yes | Padagis (authorized generic) | Apr 8, 2016 |
Outside the U.S.: Online pharmacies abroad may also sell generic alogliptin and metformin made for other markets. Those packs are not FDA-approved, and the price table labels them that way.
Source: FDA drug listing: Padagis alogliptin and metformin (authorized generic). As of Nov 12, 2026.
Compare Kazano with similar drugs
Other type 2 diabetes medicines with price pages here: Nesina is alogliptin on its own, Janumet and Jentadueto also pair a DPP-4 inhibitor with metformin, and Glucophage is metformin. Prices are for each drug's lowest-priced strength.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Nesinaalogliptin | DPP-4 inhibitor (type 2 diabetes medicine) | $241.33 for 90 days | See prices |
| Janumetsitagliptin and metformin | Type 2 diabetes medicine (DPP-4 inhibitor with metformin) | $70.63 for 90 days | See prices |
| Jentaduetolinagliptin and metformin | Type 2 diabetes medicine (DPP-4 inhibitor plus metformin) | $80.64 for 90 days | See prices |
| Seglurometertugliflozin and metformin | Type 2 diabetes medicine (SGLT2 inhibitor with metformin) | $369.58 for 90 days | See prices |
| Invokametcanagliflozin and metformin | Type 2 diabetes medicine (SGLT2 inhibitor plus metformin) | $442.95 for 90 days | See prices |
| Glucophagemetformin | Type 2 diabetes medicine (biguanide) | $37.98 for 90 days | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Kazano used for?
According to its FDA label (DailyMed), Kazano is used:
- Along with diet and exercise to improve blood sugar control in adults with type 2 diabetes.
- It is not recommended for type 1 diabetes.
Kazano comes as 12.5 mg/500 mg and 12.5 mg/1000 mg tablets, taken twice a day with food; the dose is raised slowly to ease stomach side effects from metformin, and the tablets shouldn't be split. The label says not to use it when kidney function (eGFR) is below 60. It has a boxed warning about lactic acidosis, a rare but serious problem linked to metformin. Your prescriber decides which medicine is right for you.
Is it safe to order Kazano from Canada?
Many Americans do, but U.S. law and customs rules apply, and for Kazano, compare U.S. prices, including the authorized generic, before you order. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. In Canada, Takeda sells Kazano 12.5 mg/500 mg, 12.5 mg/850 mg and 12.5 mg/1000 mg tablets (Health Canada, checked 2026-11-12); the 850 mg strength isn't sold in the U.S., so it isn't priced here. In the U.K. and Europe, Takeda sells the same combination as Vipdomet, and in Australia as Nesina Met.
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Frequently asked questions
How much does Kazano cost without insurance?
We found no 2026 U.S. list price for brand Kazano. Online pharmacies abroad charged from $255.76 for 90 days of brand Kazano 12.5 mg/1000 mg in our latest check (Nov 12, 2026). An authorized generic is also sold in the U.S.; ask your pharmacist for its cash price.
Is there a generic Kazano?
Yes. Padagis sells alogliptin and metformin as an authorized generic: it's Takeda's own medicine, sold under the generic name since 2016. The FDA Orange Book lists no other generic.
Is Kazano the same as Vipdomet?
Vipdomet is the name Takeda uses for alogliptin and metformin in the U.K. and Europe; in Australia it's called Nesina Met. They have the same active ingredients. Strengths can differ by country, so check the label.
Is there a Kazano coupon or savings card?
eDrugSearch doesn't offer coupons of its own, and we found no Takeda savings program for Kazano. If you have Medicare and limited income, Extra Help can lower what you pay for prescriptions.
How much does Kazano cost with Medicare?
It depends on your Part D plan's drug list. In 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year.
Sources
- KAZANO U.S. prescribing information, Takeda (DailyMed) (label version 22 (effective 2026-08-17): type 2 diabetes adults; twice daily with food; max 25 mg/2,000 mg a day; eGFR below 60 not recommended; boxed warning lactic acidosis)
- FDA NDC Directory: Kazano (NDC 64764-335, 64764-337) (Takeda; bottles of 60 and 500, blister trays; active; no DEA schedule)
- FDA NDC Directory: Padagis alogliptin and metformin (authorized generic) (45802-169 (12.5/500) and 45802-211 (12.5/1000), NDA AUTHORIZED GENERIC NDA203414, since 2016-04-08)
- Drugs@FDA: Kazano (NDA 203414) (both strengths Prescription; no ANDA for alogliptin and metformin)
- FDA Orange Book: alogliptin and metformin
- Health Canada Drug Product Database: Kazano (Takeda Canada 12.5/500 (DIN 02417219), 12.5/850 (02417227), 12.5/1000 (02417235) Marketed; checked 2026-11-12)
- Texas DSHS: 2026 annual WAC report
- Medicaid.gov: cost sharing
- Social Security: Medicare Extra Help
- Medicare Prescription Payment Plan
- Medicare.gov: Part D drug costs (deductible up to $615 and $2,100 out-of-pocket threshold in 2026)
- FDA: personal importation
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.