Insulin Saver Program
Effective July 1, 2023
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 |
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 |