Nesina
Generic: alogliptin
6.25MG, 12.5MG, 25MG — Tablet
Hypoglycemics - Oral — 2nd Generation Sulfonylureas
Also known as:
NESINA TABS 6.25MG, 12.5MG, 25MG
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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.
Ambetter (Centene)
29 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Silver + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Gold + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Clear Silver with $0 Insulin Options
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Silver
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Gold
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze with Atrium Health
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Silver with Atrium Health
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
|
Standard Gold with Atrium Health
via alogliptin |
Tier 2 - Generic | ✓ | — | ✓ | PA | QL |
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Bronze Essential + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Bronze Signature + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Silver Signature + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Gold Signature + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Bronze Premier + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Silver Essential + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
|
AmeriHealth Caritas Next Gold Premier + No Referrals
via alogliptin |
Tier 2 - Generic | — | — | ✓ | QL |
NC Medicaid PDL
2 plansOscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Silver Simple Diabetes
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Secure | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic 4700 | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Elite + PCP Saver Plus | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Diabetes | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple PCP Saver | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Gold Elite Saver Plus | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Chronic Care CKM | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Diabetes | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Chronic Care CKM | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
AIAN Cost Share
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
AIAN Cost Share | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic Standard
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic Standard
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Gold Classic Standard
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic Standard | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic Standard | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Gold Classic Standard | with Atrium Health
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Elite + PCP Saver Plus
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Secure
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple PCP Saver
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic 4700
via alogliptin |
Tier 2 - Generic | — | — | — | None |
|
Gold Elite Saver Plus
via alogliptin |
Tier 2 - Generic | — | — | — | None |