Apidra

Generic: insulin glulisine, human

100UNIT — Injection

INSULIN

Also known as: APIDRA SOLN 100UNIT/ML insulin glulisine, human Apidra 100 Unit/Ml Solostar Apidra 100 Unit/Ml Vial
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 2 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Everyday Bronze Tier 4 - Non-Preferred ✓ — — PA
Signature Silver + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Signature Gold + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Signature Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Signature Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Everyday Bronze with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Focused Silver with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Complete Gold with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Signature Expanded Bronze with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Signature Silver with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Signature Gold with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Complete Gold + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Everyday Bronze + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Focused Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Complete Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Complete Gold Tier 4 - Non-Preferred ✓ — — PA
Enhanced Asthma/COPD Care Silver $0 Rx Options Tier 4 - Non-Preferred ✓ — — PA
Signature Expanded Bronze + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze Tier 4 - Non-Preferred ✓ — — PA
Enhanced CHF Heart Care Silver $0 Rx Options Tier 4 - Non-Preferred ✓ — — PA
Streamlined Silver with Atrium Health Tier 4 - Non-Preferred ✓ — — PA
Streamlined Silver Tier 4 - Non-Preferred ✓ — — PA
Clear Silver with $0 Insulin Options + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental Tier 4 - Non-Preferred ✓ — — PA
Clear Silver with $0 Insulin Options Tier 4 - Non-Preferred ✓ — — PA
Signature Expanded Bronze Tier 4 - Non-Preferred ✓ — — PA
Signature Silver Tier 4 - Non-Preferred ✓ — — PA
Signature Gold Tier 4 - Non-Preferred ✓ — — PA
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 2 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 3 - Non-Preferred Brand — — — None
Source: PDF  ·  Formulary date: Oct 7, 2026  ·  Checked: 2 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect myDiabetesCare Bronze Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver 5000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver 3000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Gold 1500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze RD 6000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze RD CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD 3500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD 2200 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Gold RD CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze 7000 HSA Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze 5500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver 3600 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze 6500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Gold CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect myDiabetesCare Silver Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 2 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered — — — None
NC State Health Plan - HDHP 2026 Not Covered — — — None
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