canagliflozin

Generic: Invokana

100 mg, 300 mg — Tablet

DIABETES NON-INSULIN

Also known as: INVOKANA
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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: Mar 18, 2026  ·  Checked: 3 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Wellcare Dual Reserve (HMO-POS D-SNP)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Alignment Health smartHMO (HMO)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Alignment Health Platinum Select (HMO)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Alignment Health AVA (PPO)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Wellcare Dual Liberty Open (PPO D-SNP)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Wellcare Assist Open (PPO)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Wellcare Dual Access (HMO-POS D-SNP)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Wellcare Dual Liberty (HMO-POS D-SNP)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Wellcare Dual Liberty Open (PPO D-SNP)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Wellcare Assist Open (PPO)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Wellcare Dual Access (HMO-POS D-SNP)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Wellcare Dual Liberty (HMO-POS D-SNP)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Wellcare Dual Reserve (HMO-POS D-SNP)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health Platinum (HMO)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health NC Duals (HMO-POS D-SNP)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health smartHMO (HMO)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health Platinum Select (HMO)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health AVA (PPO)
via Invokana 		Tier 3 - Preferred Brand — — ✓ 30 per 30 days QL
Alignment Health Platinum (HMO)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Alignment Health NC Duals (HMO-POS D-SNP)
via Invokamet 		Tier 3 - Preferred Brand — — ✓ 60 per 30 days QL
Wellcare Simple Open (PPO)
via Invokana 		Tier 4 - Non-Preferred — — ✓ 30 per 30 days QL
Wellcare Giveback Open (PPO)
via Invokamet 		Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Wellcare Giveback Open (PPO)
via Invokana 		Tier 4 - Non-Preferred — — ✓ 30 per 30 days QL
Wellcare Simple (HMO-POS)
via Invokamet 		Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Wellcare Simple Open (PPO)
via Invokamet 		Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Wellcare Simple (HMO-POS)
via Invokana 		Tier 4 - Non-Preferred — — ✓ 30 per 30 days QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 3 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Invokana 		Non-Preferred ✓ — — PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 3 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via Invokana 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Invokana 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Invokana 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Invokamet 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Invokamet 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Invokamet 		Not Covered — — — None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 3 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA
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