Levemir

Generic: insulin detemir

100UNIT — Solution

Insulin Analog

Also known as: LEVEMIR SOLN 100UNIT/ML insulin detemir Levemir FlexPen Subcutaneous Solution Pen-injector Levemir FlexTouch Subcutaneous Solution Pen-injector
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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.
Source: CMS QHP JSON  ·  Formulary date: Sep 22, 2026  ·  Checked: 19 hours, 42 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Tier 4 - Non-Preferred — ✓ — ST
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered — — — None
NC State Health Plan - HDHP 2026 Not Covered — — — None
Source: CMS QHP JSON  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AIAN Cost Share Tier 3 - Preferred Brand — — — None
Gold Classic Standard Tier 3 - Preferred Brand — — — None
Bronze Classic Standard | with Atrium Health Tier 3 - Preferred Brand — — — None
Silver Classic Standard | with Atrium Health Tier 3 - Preferred Brand — — — None
Gold Classic Standard | with Atrium Health Tier 3 - Preferred Brand — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 3 - Preferred Brand — — — None
Bronze Simple Chronic Care CKM | with Atrium Health Tier 3 - Preferred Brand — — — None
Secure | with Atrium Health Tier 3 - Preferred Brand — — — None
Bronze Classic 4700 | with Atrium Health Tier 3 - Preferred Brand — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 3 - Preferred Brand — — — None
Silver Classic | with Atrium Health Tier 3 - Preferred Brand — — — None
Silver Simple Diabetes | with Atrium Health Tier 3 - Preferred Brand — — — None
Silver Simple PCP Saver | with Atrium Health Tier 3 - Preferred Brand — — — None
Gold Elite Saver Plus | with Atrium Health Tier 3 - Preferred Brand — — — None
Bronze Simple Diabetes | with Atrium Health Tier 3 - Preferred Brand — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 3 - Preferred Brand — — — None
Silver Simple Chronic Care CKM | with Atrium Health Tier 3 - Preferred Brand — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 3 - Preferred Brand — — — None
AIAN Cost Share | with Atrium Health Tier 3 - Preferred Brand — — — None
Bronze Elite + PCP Saver Plus Tier 3 - Preferred Brand — — — None
Silver Classic Tier 3 - Preferred Brand — — — None
Secure Tier 3 - Preferred Brand — — — None
Bronze Classic 4700 Tier 3 - Preferred Brand — — — None
Silver Simple PCP Saver Tier 3 - Preferred Brand — — — None
Gold Elite Saver Plus Tier 3 - Preferred Brand — — — None
Silver Simple Diabetes Tier 3 - Preferred Brand — — — None
Bronze Classic Standard Tier 3 - Preferred Brand — — — None
Silver Classic Standard Tier 3 - Preferred Brand — — — None
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via insulin detemir 		Tier 3 - Non-Formulary ✓ — — PA
Source: PDF  ·  Formulary date: Sep 23, 2026  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 0 - $0 Preventive — — ✓ QL
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