What hypoglycemic drugs do you need to use to have a discount?

I suppose you are referring to the drug Jardiance, not "joridance". Current reimbursement indications for Jardiance are: Type 2 diabetes, in patients before insulin inclusion, treated with at least two oral hypoglycemic drugs for at least 6 months, with HbA1c ≥ 8% and very high cardiovascular risk understood as: 1) confirmed cardiovascular disease, or 2) damage to other organs manifested by: proteinuria or left ventricular hypertrophy or retinopathy, or 3) the presence of 3 or more of the main risk factors listed below: -age ≥ 55 years for men, ≥60 years for women, -dyslipidemia, -hypertension, -smoking, -obesity; Chronic heart failure in adult patients with reduced left ventricular ejection fraction (LVEF≤40%) and persistent symptoms of disease in NYHA class II-IV despite the use of ACEi(or ARB/ARNi) therapy and beta-blockers and if indicated by mineralocorticoid receptor antagonists As I understand you are interested in the fragment "treated with at least two oral hypoglycemic agents for at least 6 months". This should be understood as meaning that the patient must attempt to regulate the level of sugar levels with at least two hypoglycaemic drugs other than Jordiance (e.g. metformin plus a sulphonylurea) and only if this is ineffective or insufficiently effective, the doctor may consider prescribing reimbursed therapy with Jardiance. However, if you already use Jardiance by paying for it for 100%, it may be difficult to show indications for issuing discount prescriptions - how to assess whether another therapy (e.g. with the aforementioned two-drug combination) would not be effective enough? Since the doctor decides about issuing a discount prescription, I suggest you talk to him directly about your individual case. All information should be in your medical records? I enclose additional information: https://www.gdziepolek.pl/produkty/38817/jardiance-tabletki-powlekane/refundacja https://www.gdziepolek.pl/produkty/38817/jardiance-tabletki-powlekane/apteki/w-warszawie https://www.gdziepolek.pl/artykuly/kiedy-lek-nalezy-sie-na-znizke