Insulin Saver Program

Effective January 1, 2024

The Insulin Saver Program offers preferred insulins that will be available to members at low or no cost. This only applies for Individual Accounts with the Value formulary and does not apply to QHDHP plans

Key:

UPPERCASE names = Brand

lowercase names = Generic

Drug name(s)

FIASP

NOVOLIN N FLEXPEN

FIASP FLEXTOUCH

NOVOLIN N FLEXPEN RELION

FIASP PENFILL

NOVOLIN N RELION

HUMULIN R U-500 (CONCENTRATED)

NOVOLIN R

HUMULIN R U-500 KWIKPEN

NOVOLIN R FLEXPEN

INSULIN ASPART

NOVOLIN R FLEXPEN RELION

INSULIN ASPART FLEXPEN

NOVOLIN R RELION

INSULIN ASPART PENFILL

NOVOLOG

INSULIN ASPART PROTAMINE/INSULIN ASPART

NOVOLOG FLEXPEN

INSULIN ASPART PROTAMINE/INSULIN ASPART FLEXPEN

NOVOLOG FLEXPEN RELION

LANTUS

NOVOLOG MIX 70/30

LANTUS SOLOSTAR

NOVOLOG MIX 70/30 PREFILLED FLEXPEN

LEVEMIR

NOVOLOG MIX 70/30 PREFILLED FLEXPEN RELION

LEVEMIR FLEXPEN

NOVOLOG MIX 70/30 RELION

LEVEMIR FLEXTOUCH

NOVOLOG PENFILL

NOVOLIN 70/30

NOVOLOG RELION

NOVOLIN 70/30 FLEXPEN

TOUJEO MAX SOLOSTAR

NOVOLIN 70/30 FLEXPEN RELION

TOUJEO SOLOSTAR

NOVOLIN 70/30 RELION

TRESIBA

NOVOLIN N

TRESIBA FLEXTOUCH

Important notice for fully insured individual and employer group plans in Pennsylvania: Advertised health insurance policies or programs may not cover all your healthcare expenses. Read your contract or benefit booklet (certificate of coverage) carefully to determine which healthcare services are covered. Questions? Please call 800.962.2242 or the number on the back of your ID card (TTY: 711)

Healthcare benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company®, Capital Advantage Assurance Company®, and Keystone Health Plan® Central. Independent licensees of the BlueCross BlueShield Association. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies.