Xigduo Xr
Generic: dapagliflozin prop- metformin hcl
2.5 Mg, 000 Mg — Tablet
Also known as:
XIGDUO XR TAB 2.5-1000
XIGDUO XR TAB 5-500MG
XIGDUO XR TAB 5-1000MG
XIGDUO XR TAB 10-500MG
XIGDUO XR TAB 10-1000
Xigduo Xr 2.5 Mg-1,000 Mg Tablet
Xigduo Xr 5 Mg-500 Mg Tablet
Xigduo Xr 5 Mg-1,000 Mg Tablet
Xigduo Xr 10 Mg-500 Mg Tablet
Xigduo Xr 10 Mg-1,000 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.
Blue Cross Blue Shield Federal
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBS Federal Focus 2026 | Tier 2 - Preferred Brand | — | ✓ | — | ST |
| BCBS Federal Basic Option 2026 | Tier 2 - Preferred Brand | — | ✓ | — | ST |
| BCBS Federal Standard Option 2026 | Tier 2 - Preferred Brand | — | ✓ | — | ST |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Local 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Care 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Value 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Advantage 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
Cigna
1 planNC Medicaid PDL
1 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - HDHP 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |