Sign In
Coverage
Check coverage
Home
Xultophy
Tufts Health Plan
Tufts Health Plan Coverage for Xultophy
All
5
Commercial
2
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
PA Required
Step Therapy
No Quantity Limit
See Details
Commercial - PPO
PA Required
Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Xultophy
Check medication interactions
Find savings
Get prior authorization forms
Get patient education materials