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 |