Saxagliptin-Metformin

2.5-1000 Mg — Tablet

Hypoglycemics - Oral — 2nd Generation Sulfonylureas

Also known as: Kombiglyze XR Saxagliptin-Metformin Er 2.5-1000 Mg Tablet Saxagliptin-Metformin Er 5-500 Mg Tablet Saxagliptin-Metformin Er 5-1000 Mg Tablet

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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.

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 23 hours, 58 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 1 - Generic	—	—	✓	QL

NC Medicaid PDL

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 23 hours, 58 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Kombiglyze XR	Non-Preferred	—	—	—	None
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None