Levemir
Generic: insulin detemir
100UNIT — Solution
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.
AmeriHealth Caritas NC
9 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Silver Essential + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
| AmeriHealth Caritas Next Gold Premier + No Referrals | Tier 4 - Non-Preferred | — | ✓ | — | ST |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 70/30 Standard PPO 2026 | Not Covered | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Not Covered | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Not Covered | — | — | — | None |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Silver Classic | 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 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 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 |
| 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 | Tier 3 - Preferred Brand | — | — | — | None |
| AIAN Cost Share | with Atrium Health | Tier 3 - Preferred Brand | — | — | — | None |
| Bronze Classic Standard | Tier 3 - Preferred Brand | — | — | — | None |
| Silver Classic Standard | 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 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 |
TRICARE
1 planUnitedHealthcare
13 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Standard (No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Standard (No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Standard+ Dental + Vision (No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Standard (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 Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |