Byetta

Generic: exenatide

10 Mcg — Pen Injector

Also known as: Byetta 5 Mcg Dose Pen Injector Byetta 10 Mcg Dose Pen Injector

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 20 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 2 - Preferred Brand	✓	—	✓	PA \| QL

1 plan

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 20 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Longevity Health Plan (HMO I-SNP) via exenatide	Tier 1 - Preferred Generic	✓	—	✓ 2.4 per 30 days	PA \| QL

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	✓	✓	—	PA \| ST
NC Medicaid Preferred Drug List 2026 via exenatide	Non-Preferred	✓	✓	—	PA \| ST

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 20 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via exenatide	Tier 3 - Non-Formulary	✓	—	—	PA