alogliptin benzoate/pioglitazone HCl

12.5 mg-30 mg, 25 mg-15 mg, 25 mg-30 mg, 25 mg-45 mg — Tablet

DIABETES NON-INSULIN

Also known as: OSENI ALOGLIPTIN-PIOGLITAZONE

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Sep 22, 2026  ·  Checked: 16 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Premier + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via alogliptin-pioglitazone
Tier 2 - Generic — — ✓ QL
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 16 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via alogliptin-pioglitazone
Tier 1 - Generic — — — None
BCBS Federal Basic Option 2026
via alogliptin-pioglitazone
Tier 1 - Generic — — — None
BCBS Federal Focus 2026
via alogliptin-pioglitazone
Tier 1 - Generic — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 16 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Oseni
Non-Preferred — — — None
NC Medicaid Preferred Drug List 2026
via alogliptin-pioglitazone
Non-Preferred — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 16 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026
via alogliptin-pioglitazone
Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via alogliptin-pioglitazone
Not Covered — — — None
NC State Health Plan - HDHP 2026
via alogliptin-pioglitazone
Not Covered — — — None
Something not right?