Diabetes, SGLT-2 Inhibitors
PDL Reference Documents
- Diabetes, SGLT-2 Inhibitors - Feb 06, 2025
- Diabetes, SGLT-2 Inhibitors - Oct 05, 2023
- GLP-1 Receptor Agonists and SGLT-2 Inhibitors - Oct 06, 2022
- SGLT-2 Inhibitors Class Update - Aug 05, 2021
- Newer Diabetes Drugs - Aug 06, 2020
- Newer Diabetes Treatments - Jul 26, 2018
- Diabetes Class Update - Sep 28, 2017
- Newer Diabetes Medications and Combinations - Sep 29, 2016
- Sodium-glucose Cotransporter 2 (SGLT2) Inhibitors - Mar 31, 2016
- Diabetes mellitus - Sep 24, 2015
Newsletters
- July 2023 - Update on the Use of SGLT-2 Inhibitors
- September 2020 - Cardiovascular Outcomes Associated with Newer Therapy Classes for Type 2 Diabetes Mellitus
- January 2019 - 2017-18 Year in Review: Important Safety Updates
- November 2017 - Marketing Claims of Newer Drugs and the Evidence
- March 2016 - Antidiabetic Treatments and Cardiovascular Implications
- February 2016 - 2015 in Review: Relevant Safety Updates and Ongoing Safety Concerns
PDL Status Values
Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the
Non-Preferred Drugs in Select PDL Classes prior authorization criteria.
New drugs will be listed as N until reviewed by the P&T Committee and are subject to the
New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.
To request a Prior Authorization, please use this form.
Generic Name | Brand Name | Form | PDL Status |
Current Drug Use Criteria | New Drug Evaluation & Updates |
---|---|---|---|---|---|
canagliflozin | INVOKANA | TABLET | Y | ||
dapagliflozin propanediol | FARXIGA | TABLET | Y | ||
dapagliflozin propanediol | DAPAGLIFLOZIN | TABLET | Y | ||
empagliflozin | JARDIANCE | TABLET | Y | Jan 29, 2015 | |
canagliflozin/metformin HCl | INVOKAMET XR | TAB BP 24H | N | PA Document | |
canagliflozin/metformin HCl | INVOKAMET | TABLET | N | PA Document | Jan 29, 2015 |
dapaglifloz propaned/metformin | XIGDUO XR | TAB BP 24H | N | PA Document | |
dapaglifloz propaned/metformin | DAPAGLIFLOZIN-METFORMIN ER | TAB BP 24H | N | PA Document | |
dapagliflozin/saxagliptin HCl | QTERN | TABLET | N | PA Document | |
empaglifloz/linaglip/metformin | TRIJARDY XR | TAB BP 24H | N | PA Document | |
empagliflozin/linagliptin | GLYXAMBI | TABLET | N | PA Document | |
empagliflozin/metformin HCl | SYNJARDY XR | TAB BP 24H | N | PA Document | |
empagliflozin/metformin HCl | SYNJARDY | TABLET | N | PA Document | |
ertugliflozin pidolate | STEGLATRO | TABLET | N | PA Document | |
ertugliflozin/metformin | SEGLUROMET | TABLET | N | PA Document | |
ertugliflozin/sitagliptin phos | STEGLUJAN | TABLET | N | PA Document | |
sotagliflozin | INPEFA | TABLET | N | PA Document |