Ozempic — Cigna
Type 2 Diabetes Mellitus
Initial criteria
- For Adlyxin, Byetta, exenatide (generic to Byetta), Mounjaro, Ozempic, or Rybelsus: patient age ≥ 18 years; OR
- For Bydureon BCise, Trulicity, Victoza, or liraglutide: patient age ≥ 10 years
Approval duration
1 year