Insulin Saver Program

Effective January 1, 2022

Preferred insulins are available for $5 copay per 30 day supply ($15 per 90 day supply). This only applies for Individual accounts with the Value formulary, and does not apply to qualified high deductible health plan (QHDHP) plans.

Key:

UPPERCASE names = Brand

lowercase names = Generic

Drug name(s)

FIASP

FIASP FLEXTOUCH

FIASP PENFILL

HUMULIN R INJ U-500

INSULIN ASPART

INSULIN ASPART 70/30

INSULIN ASPART FLEXPEN

INSULIN ASPART PENFILL

LANTUS

LANTUS SOLOSTAR

LEVEMIR

LEVEMIR FLEXTOUCH

NOVOLIN 70/30

NOVOLIN 70/30 FLEXPEN

NOVOLIN 70/30 RELION

NOVOLIN N

NOVOLIN N FLEXPEN

NOVOLIN N RELION

NOVOLIN R

NOVOLIN R FLEXPEN

NOVOLIN R RELION

NOVOLOG 

NOVOLOG FLEXPEN

NOVOLOG MIX FLEXPEN

NOVOLOG MIX 70/30

NOVOLOG PENFILL

TOUJEO MAX SOLOSTAR

TOUJEO SOLOSTAR

TRESIBA

TRESIBA FLEXTOUCH