Humalog Mix 75/25
Generic: insulin lispro prot & lispro
Vial
Also known as:
Humalog Mix 75/25 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.
Blue Cross Blue Shield of NC
15 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Value 2026
via Humalog Mix 75/25 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via Humalog Mix 75/25 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Humalog Mix 75/25 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Local 2026
via Humalog Mix 75/25 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via Humalog Mix 75/25 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via Humalog Mix 50/50 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Humalog Mix 50/50 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Local 2026
via Humalog Mix 50/50 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via Humalog Mix 50/50 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Value 2026
via Humalog Mix 50/50 Kwikpen |
Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Advantage 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Local 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Care 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
| BCBSNC Blue Value 2026 | Tier 3 - High Cost Brand | — | — | ✓ | QL |
UnitedHealthcare
4 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
UnitedHealthcare NC Individual & Family 2026
via Humalog Mix 75/25 Kwikpen |
Unknown | — | — | ✓ | QL |
| UnitedHealthcare NC Individual & Family 2026 | Unknown | — | — | ✓ | QL |
|
UnitedHealthcare NC Individual & Family 2026
via Insulin Lispro Prot & Lispro |
Unknown | — | — | ✓ | QL |
|
UnitedHealthcare NC Individual & Family 2026
via Humalog Mix 50/50 Kwikpen |
Unknown | — | — | ✓ | QL |