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Brynovin — Blue Cross Blue Shield of Kansas

As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

Preferred products

  • Januvia
  • Janumet
  • Janumet XR

Initial criteria

  • Coverage is provided for members with type 2 diabetes mellitus for whom the medication is prescribed as an adjunct to diet and exercise to improve glycemic control
  • Requests for non-preferred medications require trial and failure, contraindication, or clinical intolerance to all preferred products (Januvia, Janumet, Janumet XR)