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HumanaMedicare Advantage · Prior Auth · Medicare Advantage · Endocrinology, Family Medicine, Internal Medicine +1 moreMedium impact

DPP-IV, SGLT2 Combination Products (Revised)

Act
by Jan 1, 2026
Effective date
Jan 1, 2026
Identified
Jun 24, 2026

Summary

Humana Medicare Advantage now requires prior authorization for DPP-IV/SGLT2 combination diabetes medications (Steglujan, Qtern, and generic dapagliflozin-saxagliptin) effective January 1, 2026. Patients must have tried individual DPP-4 or SGLT2 inhibitors first, or have contraindications to them.

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What to do

by Jan 1, 2026 · 3 steps
01Billing team must update prior authorization system to require preapproval for Steglujan, Qtern, and dapagliflozin-saxagliptin tablets for Humana Medicare Advantage patients.
02Providers must document previous treatment with or contraindications to individual DPP-4 inhibitors (sitagliptin, linagliptin) or SGLT2 inhibitors (empagliflozin, dapagliflozin) before prescribing combination products.
03Update EMR templates to include diabetes medication history documentation.

Original notice

DPP-IV, SGLT2 Combination Products (Revised)
mcp.humana.com · Always check the source before changing claims.
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Related changes

See all Humana changes →
DPP-IV, SGLT2 Combination Products (New)HighEffective Jan 1, 2027 · Medicare AdvantageBrowse every Humana change in the policy list

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Humana policiesEndocrinologyFamily MedicineInternal MedicineGeneral Practice

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