ertugliflozin pidolate/metformin HCl

2.5 mg-1,000 mg, 2.5 mg-500 mg, 7.5 mg-1,000 mg, 7.5 mg-500 mg — Tablet

Also known as: SEGLUROMET

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 17 hours, 40 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA