Insulin Lispro Prot & Lispro

Insulins

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 3 minutes ago
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
via Humalog Mix 75/25
Tier 3 - High Cost Brand QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Humalog Mix 75/25
Tier 3 - High Cost Brand QL
BCBSNC Blue Local 2026
via Humalog Mix 75/25
Tier 3 - High Cost Brand QL
BCBSNC Blue Care 2026
via Humalog Mix 75/25
Tier 3 - High Cost Brand QL
BCBSNC Blue Value 2026
via Humalog Mix 75/25
Tier 3 - High Cost Brand QL
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 22 hours, 3 minutes ago
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
via Humalog Mix 75/25
Unknown QL
UnitedHealthcare NC Individual & Family 2026 Unknown QL
UnitedHealthcare NC Individual & Family 2026
via Humalog Mix 50/50 Kwikpen
Unknown QL
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