Semglee

Generic: insulin glargine-yfgn

100UNIT — Solution

Also known as: SEMGLEE SOLN 100UNIT/ML; SOPN 100UNIT/ML SEMGLEE SOLN 100UNIT/ML

Coverage by Insurer

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

Ambetter (Centene)

29 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 20 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Standard Expanded Bronze + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Gold + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Silver with Atrium Health + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Gold with Atrium Health + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Everyday Bronze via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Elite Bronze via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Clear Silver with $0 Insulin Options via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Expanded Bronze via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Silver via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Silver with Atrium Health via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Silver + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Expanded Bronze with Atrium Health via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Complete Gold with Atrium Health via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Focused Silver with Atrium Health via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Elite Bronze with Atrium Health via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Everyday Bronze with Atrium Health via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Gold via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Complete Gold via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Standard Gold with Atrium Health via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Complete Gold + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Everyday Bronze + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Elite Bronze + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Everyday Bronze with Atrium Health + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Elite Bronze with Atrium Health + Vision + Adult Dental via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None

Blue Cross Blue Shield Federal

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via insulin glargine-yfgn	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026 via insulin glargine-yfgn	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Focus 2026 via insulin glargine-yfgn	Tier 2 - Preferred Brand	—	—	—	None

Blue Cross Blue Shield of NC

10 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 31 minutes ago

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

Medicare Part D

14 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 20 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NHC Advantage (HMO I-SNP) via insulin glargine-yfgn	Tier 1 - Preferred Generic	—	—	—	None
Liberty Medicare Dual Plan (HMO D-SNP) via insulin glargine-yfgn	Tier 1 - Preferred Generic	—	—	—	None
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) via insulin glargine-yfgn	Tier 1 - Preferred Generic	—	—	—	None
PruittHealth Premier (HMO I-SNP) via insulin glargine-yfgn	Tier 1 - Preferred Generic	—	—	—	None
Senior Care (HMO I-SNP) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Simple Open (PPO) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Simple (HMO-POS) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Giveback Open (PPO) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Dual Liberty Open (PPO D-SNP) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Assist Open (PPO) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Dual Access (HMO-POS D-SNP) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Dual Liberty (HMO-POS D-SNP) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Dual Reserve (HMO-POS D-SNP) via insulin glargine-yfgn	Tier 3 - Preferred Brand	—	—	—	None
Liberty Medicare Advantage (HMO C-SNP) via insulin glargine-yfgn	Tier 6 - Specialty Plus	—	—	—	None

NC State Health Plan

6 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via insulin glargine-yfgn	Tier 0 - $0 Copay (ACA Preventive)	—	—	✓ $0 Copay per 30-day	QL
NC State Health Plan - 70/30 Standard PPO 2026 via insulin glargine-yfgn	Tier 0 - $0 Copay (ACA Preventive)	—	—	✓ $0 Copay per 30-day	QL
NC State Health Plan - HDHP 2026 via insulin glargine-yfgn	Tier 0 - $0 Copay (ACA Preventive)	—	—	✓ $0 Copay per 30-day	QL
NC State Health Plan - HDHP 2026	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Not Covered	—	—	—	None

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 20 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via insulin glargine-yfgn	Tier 3 - Non-Formulary	✓	—	—	PA