Employer / Commercial Insurance
Covered with requirementsWhat you need to qualify
- Age 18 and older
- Diagnosis documented with a code
Qualification pathways
You can qualify through any one of these.
Initial approval for Type 2 Diabetes
All of:
- Diagnosis of Type 2 Diabetes Mellitus confirmed by documentation (medical records, chart notes, A1C, ICD-10 code)
- Inadequate response within the past 130 days, adverse reaction, or contraindication to a formulary covered oral agent for T2DM (Appendix A)
- Member is not using multiple GLP-1 agents
- Member is at least 18 years of age
Reauthorization for Type 2 Diabetes
All of:
- Diagnosis of Type 2 Diabetes Mellitus confirmed by documentation (medical records, chart notes, A1C, ICD-10 code)
- Inadequate response, adverse reaction, or contraindication to a formulary covered oral agent for T2DM (Appendix A)
- Member is not using multiple GLP-1 agents
- Member is at least 18 years of age
Plus any one of:
- Positive clinical response to therapy
- Documentation of clinical justification to continue therapy with requested medication
Documentation to bring
- Documentation confirming Type 2 Diabetes Mellitus diagnosis (medical records, chart notes, A1C result, or ICD-10 code)
- Documentation of inadequate response within the past 130 days, adverse reaction, or contraindication to a formulary covered oral agent for T2DM (Appendix A)
Approval and renewal
- Initial approval: 12 months
- Renewal: every 12 months
- To renew, the plan looks for Positive clinical response to therapy OR documentation of clinical justification to continue therapy with requested medication.
Not covered when
- Member must not be using multiple GLP-1 agents simultaneously
- Type 1 diabetes
Policy note: Covered use stated as 'all medically accepted indications unless otherwise excluded.' Step therapy requires inadequate response, adverse reaction, or contraindication to a formulary covered oral agent from Appendix A (includes metformin combinations, sulfonylureas, DPP-4 inhibitors, SGLT2 inhibitors, thiazolidinediones, meglitinides, and alpha-glucosidase inhibitors). The 130-day lookback period for oral agent trial applies to initial authorization only. Requirements may adjudicate at point of service if satisfied via automated record search. Victoza (liraglutide) is listed as a product affected but was moved to non-formulary (NF) per version 5.0 revision notes.
Policy effective January 1, 2026 · verified June 10, 2026 · source: policy-445.html