Health Net
Nesina (alogliptin)
Hormones : Drugs for Diabetes
  • Prior Authorization: Diabetes Type 2: DPP4 + Combo:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 1 plan year
    Reauthorization Required: Yes

  • Diabetes Type 2: DPP4 + Combo:
    Age Requirement: >= 18
    Duration: 1 plan year
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year

  • Step Therapy: Diabetes Type 2: DPP4 + Combo:
    ST Generic and Brand