UnitedHealthcare
Jardiance (empagliflozin)
Hormones : Drugs for Diabetes
  • Step Therapy: Chronic Heart Failure (CHF), Chronic Kidney Disease:
    ST Multiple Generics

    Diabetes Type 2: SGLT2 + Combo:
    ST Single Generic

  • Quantity Limit: limit maximum 1 EA PER 1 day(s)