insulin icodec-abae

700/ML — Pen Injector

INSULINS

Also known as: AWIQLI FLEXTOUCH

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: 8 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via Awiqli Flextouch
Tier 3 - Non-Formulary ✓ — — PA PA: TPA - SELECT DRUGS REQUIRES PRIOR AUTHORIZATION (NEW TO MARKET DRUGS)
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