Invokamet®/Invokamet® XR (canaglifozin/metformin)
Invokana® (canagliflozin)

Authorization forms

Optimized (05/2020)

Priority Health Medicaid no longer utilizes drug-specific prior authorization forms. Visit the Medicaid Approved Drug List (ADL) to find the new PA form and drug criteria document.

Go to Medicaid ADL