Generic Ingredient DAPAGLIFLOZIN/METFORMIN Medication Lists Not Covered Prior Auth Required Strength Information DAPAGLIFLOZIN/METFORMIN-5MG/1000MG-TABS DAPAGLIFLOZIN/METFORMIN-10MG/1000MG-TABS Covered Alternatives Group SGLT INHIBITORS gpi6 ANTIDIABETIC*