Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
TRICARE
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 1 - Generic Formulary | — | ✓ | — | ST Step therapy: 9DPP-4 INHIBITORS SECONDARY RULE- SEL DPP-4 INHIBITORS REQ PA W/O SELECT ANTI-HYPREGLYCEMIC |