Brenzavvy

Generic: bexagliflozin

20 MG — Tablet

Sodium-Glucose Cotransporter 2 Inhibitor

Also known as: BRENZAVVY TABS 20MG Brenzavvy Oral Tablet bexagliflozin

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  ·  Checked: 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 4 - Non-Preferred PA | QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 4 - Non-Preferred PA | QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via bexagliflozin
Tier 3 - Non-Formulary PA
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