Novolog Mix 70-30 Flexpen

Generic: insulin aspart protamine human/insulin aspart

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 17 hours, 10 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via insulin aspart protamine human/insulin aspart	Tier 1 - Basic Core Formulary	✓	—	—	PA