sitagliptin phos/metformin HCl

100-1000MG, 50-1000 MG, 50MG-500MG — Tablet

DIABETES NON-INSULIN

Also known as: Sitagliptin Phos-metformin Er Sitagliptin Phos-metformin
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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.
Source: Excel (XLSX)  ·  Formulary date: Oct 29, 2026  ·  Checked: 5 hours, 22 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Generic Formulary (Basic Core) ✓ — — PA PA: TPA - GENERIC SITAGLIPTIN PHOS-METFORMIN,SITAGLIPTIN PHOS-METFORMIN ER REQUIRES PRIOR AUTHORIZATION
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