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Hypoglycemics - Injectable — Rapid Acting Insulin

Also known as: Humalog

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

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 3 hours, 3 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Care 2026 via Humalog	Tier 3 - High Cost Brand	—	—	✓	QL
BCBSNC Blue Value 2026 via Humalog	Tier 3 - High Cost Brand	—	—	✓	QL
BCBSNC Blue Advantage 2026 via Humalog	Tier 3 - High Cost Brand	—	—	✓	QL
BCBSNC Blue Home with UNC Health Alliance 2026 via Humalog	Tier 3 - High Cost Brand	—	—	✓	QL
BCBSNC Blue Local 2026 via Humalog	Tier 3 - High Cost Brand	—	—	✓	QL

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 3 hours, 3 minutes ago

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

Medicare Part D

70 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 3 hours, 3 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Longevity Health Plan (HMO I-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
Provider Partners North Carolina Advantage Plan (HMO I-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
Provider Partners North Carolina Essential Plan (HMO I-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
NHC Advantage (HMO I-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
PruittHealth Premier (HMO I-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
Provider Partners North Carolina Community Plan (HMO I-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
Liberty Medicare Dual Plan (HMO D-SNP) via Humalog	Tier 1 - Preferred Generic	—	—	—	None
AARP Medicare Advantage from UHC NC-0009 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0011 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0012 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Dual Complete NC-V001 (HMO-POS D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Dual Complete NC-S3 (HMO-POS D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-24 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-26 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Erickson Advantage Signature (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Erickson Advantage Guardian (HMO-POS I-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Erickson Advantage Freedom (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Erickson Advantage Liberty (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Complete Care NC-25 (HMO-POS C-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Complete Care NC-27 (HMO-POS C-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Complete Care NC-28 (HMO-POS C-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Erickson Advantage Champion (HMO-POS C-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthSpring True Choice (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthSpring TotalCare (HMO D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthSpring TotalCare Plus (HMO D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthSpring Preferred (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthSpring Preferred Select (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthSpring Preferred Savings (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthSpring Preferred Plus (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Blue Medicare PPO Enhanced (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Blue Medicare Essential Plus (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Blue Medicare Enhanced (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Blue Medicare Choice (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Blue Medicare Essential (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Experience Health Medicare Advantage (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Healthy Blue + Medicare (HMO-POS D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Alignment Health Platinum (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Alignment Health NC Duals (HMO-POS D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Alignment Health smartHMO (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Alignment Health Platinum Select (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Alignment Health Heart & Diabetes Care (HMO C-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
Alignment Health AVA (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	✓ 60 per 30 days	QL
HealthTeam Advantage Plan I (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthTeam Advantage Plan II (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
HealthTeam Advantage Vitality Plan (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Troy Medicare (HMO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AmeriHealth Caritas VIP Care (HMO D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Senior Care (HMO I-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Dual Complete NC-S001 (PPO D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Dual Complete NC-S2 (PPO D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage Access from UHC NC-23 (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0001 (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0004 (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0016 (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0017 (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0019 (PPO) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0022 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0007 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Dual Complete NC-D001 (HMO-POS D-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
AARP Medicare Advantage from UHC NC-0008 (HMO-POS) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
UHC Nursing Home Plan NC-F001 (PPO I-SNP) via Humalog	Tier 3 - Preferred Brand	—	—	—	None
Liberty Medicare Advantage (HMO C-SNP) via Humalog	Tier 6 - Specialty Plus	—	—	—	None
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) via Humalog	Tier 6 - Specialty Plus	—	—	—	None

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 3 hours, 3 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	✓	—	ST