Anthem Blue Cross (HMO, PPO, EPO)
Nesina (alogliptin)
Hormones : Drugs for Diabetes
  • Step Therapy: Diabetes Type 2: DPP4 + Combo:
    ST Generic and Brand

  • Prior Authorization: Diabetes Type 2: DPP4 + Combo:
    Documented Diagnosis: Yes
    Duration: 1 year(s)

  • Quantity Limit: 1 tablet per 1 day(s).
  • Diabetes Type 2: DPP4 + Combo:
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A