Bydureon
Generic: exenatide
1.9975 MG — Auto-Injector
Also known as:
exenatide
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Cigna
40 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Connect Bronze CMS Standard
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Bronze 5500 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 6500 Indiv Med Deductible
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver 4400 Indiv Med Deductible
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect myDiabetesCare Bronze
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver 3000 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 Gold RD 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 Bronze RD CMS Standard
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Bronze CMS Standard
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver RD CMS Standard
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Gold RD 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 Bronze RD CMS Standard
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Bronze RD 6000 Indiv Med Deductible
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 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 Silver RD 5000 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver 3500 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver RD 2200 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver RD 3500 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Gold 1500 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect myDiabetesCare Silver
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Bronze 5500 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 6500 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver 4400 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect myDiabetesCare Bronze
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver 3000 Indiv Med Deductible
via Byetta |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver RD 5000 Indiv Med Deductible
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver 3500 Indiv Med Deductible
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver RD 2200 Indiv Med Deductible
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Silver RD 3500 Indiv Med Deductible
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect Gold 1500 Indiv Med Deductible
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
|
Connect myDiabetesCare Silver
via exenatide |
Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
Medicare Part D
1 planNC Medicaid PDL
2 plansTRICARE
1 planUnitedHealthcare
13 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| UHC Bronze Standard (No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Bronze Standard+ Dental + Vision (No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Silver Standard (No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Silver Value + ($0 Virtual Urgent Care, 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 Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Gold Standard (No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |