sitagliptin free base-metformin hcl

1000 mg — Tablet

Also known as: sitagliptin free base-metformin hcl tab 50-500 mg sitagliptin free base-metformin hcl tab 50-1000 mg sitagliptin free base-metformin hcl tab er 24hr 50-500 mg sitagliptin free base-metformin hcl tab er 24hr 50-1000 mg sitagliptin free base-metformin hcl tab er 24hr 100-1000 mg

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 2 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
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