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Jentadueto XRBlue Cross Blue Shield of Alabama

Type 2 diabetes mellitus

Preferred products

  • Alogliptin
  • Alogliptin/metformin (Kazano)
  • Alogliptin/pioglitazone (Oseni)

Initial criteria

  • The medication is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
  • Medication should not be used in patients with type 1 diabetes mellitus or diabetic ketoacidosis.
  • Requesting agent must not be used in patients with a history of pancreatitis.