Metformin Alternatives in Vermont
Compare generic and therapeutic alternatives to Metformin (metformin hydrochloride) available at Vermont pharmacies. Save up to 90% on your prescription — no insurance required.
Top Alternatives in Vermont
Empagliflozin (Jardiance)
therapeutic
SGLT2 inhibitor with cardiovascular / renal benefit — add-on for high-risk patients
Avg cash price: $560/mo
Semaglutide (Ozempic)
therapeutic
GLP-1 agonist — superior weight loss, added if metformin insufficient
Avg cash price: $940/mo
Glipizide (sulfonylurea)
therapeutic
Older oral diabetes drug — affordable but causes weight gain and hypoglycaemia
Avg cash price: $10/mo
Vermont Prescription Assistance Programs
VPharm / VPharmAssist (Vermont Pharmaceutical Assistance)
State pharmaceutical assistance programs that historically helped eligible Vermont residents with prescription drug costs. Now largely superseded by Dr. Dynasaur and Green Mountain Care programs.
Eligibility: Contact the Vermont Agency of Human Services at 1-800-250-8427 for current program availability and eligibility thresholds.
Vermont Medicaid (Green Mountain Care)
Comprehensive prescription drug coverage through Vermont Medicaid for eligible residents.
Eligibility: Low-income Vermont adults, children, pregnant women, seniors, and people with disabilities. Vermont has very high Medicaid coverage rates.
Frequently Asked Questions
Why is metformin still the first-line drug for type 2 diabetes?
Metformin has 60+ years of safety data, lowers HbA1c effectively, does not cause hypoglycaemia or weight gain, reduces cardiovascular risk, and costs under $10/month as a generic.
What is metformin ER and is it better than regular metformin?
Metformin extended-release (ER/XR) is taken once daily and causes less GI side effects (nausea, diarrhoea) than immediate-release. Most patients who struggle with regular metformin tolerate ER well.
Does metformin cause B12 deficiency?
Yes — long-term metformin use reduces vitamin B12 absorption in ~30% of patients. Annual B12 testing is recommended, especially for patients on metformin for >4 years or those with neuropathy.
Can metformin be used for PCOS without diabetes?
Yes — metformin is used off-label in PCOS to improve insulin sensitivity, regulate menstrual cycles, and reduce androgen levels. It is often combined with lifestyle change and hormonal therapy.
What does metformin cost through Script Unlock?
Metformin is one of the cheapest medications in existence — typically $4–$10/month. Script Unlock pharmacies offer competitive cash pricing and can supply both IR and ER formulations.