Additional information
Formulary Category | 3 |
---|---|
Restrictions | Prior Authorization |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | N/A |
Empagliflozin-Linagliptan-Metformin Extended Release Tablet 10-5-1000 Mg (Generic)
Formulary Category | 3 |
---|---|
Restrictions | Prior Authorization |
What we cover | Non-Formulary Brand |
Cost* | $68 |
Cost mail** | N/A |