Does Gold 22 Health cover metformin / saxagliptin?
Gold 22 Health
13887-13887FL0010001-0 · ACA · ACA Marketplace
metformin / saxagliptin
metformin / saxagliptinunder Gold 22 Health
Covered — requires step therapy
You may need to try a cheaper medication first — your doctor’s office handles it.
What you'd pay
$15per 30-day fill
From the first fill — no deductible on this drug.
This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.
Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
- Tier
- Generics
- Approval first
- Not needed
- Try another first
- Required
- Amount limit
- Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (6)
- 24 HR metformin hydrochloride 1000 MG / saxagliptin 2.5 MG Extended Release Oral TabletTry another firstAmount limit
- 24 HR metformin hydrochloride 1000 MG / saxagliptin 2.5 MG Extended Release Oral Tablet [Kombiglyze]Try another firstAmount limit
- 24 HR metformin hydrochloride 1000 MG / saxagliptin 5 MG Extended Release Oral TabletTry another firstAmount limit
- 24 HR metformin hydrochloride 1000 MG / saxagliptin 5 MG Extended Release Oral Tablet [Kombiglyze]Try another firstAmount limit
- 24 HR metformin hydrochloride 500 MG / saxagliptin 5 MG Extended Release Oral TabletTry another firstAmount limit
- 24 HR metformin hydrochloride 500 MG / saxagliptin 5 MG Extended Release Oral Tablet [Kombiglyze]Try another firstAmount limit