Bydureon

Generic: exenatide

1.9975 MG — Auto-Injector

GLP-1 Receptor Agonist

Also known as: exenatide
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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: PDF  ·  Formulary date: Oct 15, 2026  ·  Checked: 14 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze RD 6000 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze 7000 HSA Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze 6500 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze 5500 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver 5000 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver 3600 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver 3000 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze CMS Standard
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver CMS Standard
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Gold CMS Standard
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect myDiabetesCare Bronze
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect myDiabetesCare Silver
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Gold 1500 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze RD 5000 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze RD 6000 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze RD CMS Standard
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD 3500 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD 5000 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD CMS Standard
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD 2200 Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Gold RD CMS Standard
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze 7000 HSA Indiv Med Deductible
via exenatide 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze 6500 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze 5500 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver 5000 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver 3600 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver 3000 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze CMS Standard
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver CMS Standard
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Gold CMS Standard
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect myDiabetesCare Bronze
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect myDiabetesCare Silver
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Gold 1500 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze RD 5000 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Bronze RD CMS Standard
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD 3500 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD 5000 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD CMS Standard
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Silver RD 2200 Indiv Med Deductible
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Connect Gold RD CMS Standard
via Byetta 		Tier 3 - Preferred Brand ✓ — ✓ PA | QL
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 14 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Byetta 		Preferred ✓ ✓ — PA | ST
NC Medicaid Preferred Drug List 2026
via exenatide 		Non-Preferred ✓ ✓ — PA | ST
Source: Excel (XLSX)  ·  Formulary date: Sep 23, 2026  ·  Checked: 14 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via exenatide 		Tier 3 - Non-Formulary ✓ — — PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED
TRICARE Uniform Formulary 2026
via Byetta 		Tier 3 - Non-Formulary ✓ — — PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED
Source: PDF  ·  Formulary date: Sep 23, 2026  ·  Checked: 14 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 3 - Preferred Brand ✓ — ✓ PA | QL
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