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Janumet XRBlue Cross Blue Shield of Alabama

Type 2 diabetes mellitus (DPP-4 inhibitor use)

Preferred products

  • Alogliptin
  • Alogliptin/metformin
  • Alogliptin/pioglitazone
  • Jentadueto
  • Jentadueto XR
  • Kazano
  • Kombiglyze XR
  • Nesina
  • Onglyza
  • Oseni
  • Tradjenta
  • Zituvimet
  • Zituvimet XR
  • Zituvio

Initial criteria

  • ONE of the following:
  • - The patient’s medication history includes use of a preferred DPP-4 inhibitor agent OR
  • - The patient has an intolerance or hypersensitivity to sitagliptin that is not expected to occur with the requested agent OR
  • - The patient has an FDA labeled contraindication to sitagliptin that is not expected to occur with the requested agent
  • AND the patient will NOT be using the requested agent in combination with another DPP‑4 inhibitor/combination agent (e.g., Januvia, Janumet, Janumet XR, Jentadueto, Jentadueto XR, Kazano, Kombiglyze XR, Nesina, Onglyza, Oseni, Tradjenta, Zituvio, Zituvimet, Zituvimet XR) for the requested indication
  • AND the patient will NOT be using the requested agent in combination with a GLP‑1 agent or GLP‑1/GIP receptor agonist (e.g., Saxenda, Wegovy, Zepbound, Bydureon, Byetta, Mounjaro, Ozempic, Rybelsus, Trulicity, Victoza)

Approval duration

12 months