insulin glargine,hum.rec.anlog

100/ML (3) — Pen Injector

INSULINS

Also known as: BASAGLAR TEMPO PEN U-100 BASAGLAR KWIKPEN U-100

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Oct 29, 2026  ·  Checked: 5 hours, 34 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via Basaglar Tempo
Tier 3 - Non-Formulary ✓ — — PA PA: PA DRUGS, DOD PA REQUIRED
TRICARE Uniform Formulary 2026
via Basaglar Kwikpen U-100
Tier 3 - Non-Formulary ✓ — — PA PA: PA DRUGS, DOD PA REQUIRED
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