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Best Dipeptidyl Peptidase 4 Inhibitor for diabetes mellitus, type 2

Top-rated pick: Tradjenta — pharmaranks score 72/100, the highest of the 6 Dipeptidyl Peptidase 4 Inhibitor drugs used for diabetes mellitus, type 2, ranked by our independent FDA recall-safety score. Compare them with all treatments for diabetes mellitus, type 2 or the full Dipeptidyl Peptidase 4 Inhibitor class. Not medical advice — always consult a professional.

Quick answer: Of the 6 dipeptidyl peptidase 4 inhibitor drugs we rate for diabetes mellitus, type 2, 3 are available as lower-cost generics, and most are tablet. Our ranking reflects each drug’s FDA recall-safety record — not clinical effectiveness for diabetes mellitus, type 2; the right choice depends on your situation, so confirm it with your prescriber.

Rated against independent regulatory sources·Last updated August 22, 2026·How we rate

How dipeptidyl peptidase 4 inhibitor work

DPP-4 inhibitors block the enzyme that quickly destroys the body's own gut hormones (incretins like GLP-1). With these hormones lasting longer, the pancreas releases more insulin and less glucagon after meals, which lowers blood sugar.

Source: Dipeptidyl Peptidase IV (DPP IV) Inhibitors - StatPearls - NCBI Bookshelf

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Top dipeptidyl peptidase 4 inhibitor for diabetes mellitus, type 2: 1. Tradjenta · 2. Brynovin · 3. Januvia

Best-rated Dipeptidyl Peptidase 4 Inhibitor for diabetes mellitus, type 2, ranked by pharmaranks score
#DrugRatingPharmacy pays
172/100View →
270/100$111View →
3Not yet rated$111View →
4Not yet ratedView →
5Not yet ratedView →
6Not yet rated$111View →

Full ranking · 6 drugs

#1 of 3 in Dipeptidyl Peptidase 4 Inhibitor

tradjenta

PrescriptionFDA-sourced

72/100

Tradjenta (Linagliptin) is a dipeptidyl peptidase 4 inhibitor used to treat Type 2 Diabetes Mellitus.

(6 data points)
dipeptidyl peptidase 4 inhibitordiabetes mellitus, type 2
Available online
View details →
#2 of 3 in Dipeptidyl Peptidase 4 Inhibitor

brynovin

PrescriptionFDA-sourced

70/100

Brynovin (Sitagliptin Hydrochloride) is a dipeptidyl peptidase 4 inhibitor used to treat Type 2 Diabetes Mellitus.

(3 data points)
dipeptidyl peptidase 4 inhibitordiabetes mellitus, type 2

Pharmacy pays

From ~$104.08/30· 3 forms
View details →

januvia

PrescriptionFDA-sourced

New

Januvia (Sitagliptin Phosphate) is a dipeptidyl peptidase 4 inhibitor used to treat Type 2 Diabetes Mellitus.

dipeptidyl peptidase 4 inhibitordiabetes mellitus, type 2

Pharmacy pays

From ~$104.08/30· 3 forms
View details →
SUNSHINE logo

linagliptin

PrescriptionFDA-sourced

New

Linagliptin is a dipeptidyl peptidase 4 inhibitor used to treat Type 2 Diabetes Mellitus.

dipeptidyl peptidase 4 inhibitordiabetes mellitus, type 2
Available online
View details →
TAKEDA PHARMS USA logo

nesina

PrescriptionFDA-sourced

New

Nesina (Alogliptin Benzoate) is a dipeptidyl peptidase 4 inhibitor used to treat Type 2 Diabetes Mellitus.

dipeptidyl peptidase 4 inhibitordiabetes mellitus, type 2
Available online
View details →

zituvio

PrescriptionFDA-sourced

New

Zituvio (Sitagliptin) is a dipeptidyl peptidase 4 inhibitor used to treat Type 2 Diabetes Mellitus.

dipeptidyl peptidase 4 inhibitordiabetes mellitus, type 2

Pharmacy pays

From ~$104.08/30· 3 forms
View details →

Frequently asked

What is the best dipeptidyl peptidase 4 inhibitor for diabetes mellitus, type 2?
By our independent recall-safety rating — not an efficacy measure — tradjenta ranks highest among Dipeptidyl Peptidase 4 Inhibitor drugs used for diabetes mellitus, type 2. Always consult a professional.
Which dipeptidyl peptidase 4 inhibitor drugs treat diabetes mellitus, type 2?
pharmaranks lists 6 Dipeptidyl Peptidase 4 Inhibitor products used for diabetes mellitus, type 2, per NIH RxClass drug-classification data — each independently rated and ranked above.
How are these ranked?
By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.