Semglee

Generic: insulin glargine-yfgn

100UNIT — Solution

ANTIDIABETICS

Also known as: SEMGLEE SOLN 100UNIT/ML; SOPN 100UNIT/ML SEMGLEE SOLN 100UNIT/ML
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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: Jan 1, 2026  ·  Checked: 7 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options
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
Signature Expanded Bronze
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Silver
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Gold
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Everyday Bronze 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
Focused Silver 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
Signature Expanded Bronze with Atrium Health
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Silver with Atrium Health
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Gold with Atrium Health
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Enhanced Asthma/COPD Care Silver $0 Rx 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
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
Signature Expanded Bronze + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Silver + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Gold + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Silver with Atrium Health + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Signature Gold with Atrium Health + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Streamlined Silver
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Streamlined Silver with Atrium Health
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Enhanced CHF Heart Care Silver $0 Rx Options
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Source: CMS QHP JSON  ·  Formulary date: Sep 22, 2026  ·  Checked: 7 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via insulin glargine-yfgn 		Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 7 hours, 36 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
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 7 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026
via insulin glargine-yfgn 		Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Advantage 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 Care 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 Value 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Care 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Local 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Advantage 2026 Tier 3 - High Cost Brand — — ✓ QL
Source: CMS QHP JSON  ·  Formulary date: Sep 16, 2026  ·  Checked: 7 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
PruittHealth Premier (HMO I-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
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
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Complete Care NC-25 (HMO-POS C-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Complete Care NC-27 (HMO-POS C-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Complete Care NC-28 (HMO-POS C-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Erickson Advantage Signature (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Erickson Advantage Guardian (HMO-POS I-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Erickson Advantage Champion (HMO-POS C-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Erickson Advantage Freedom (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Erickson Advantage Liberty (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0016 (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0004 (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0001 (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Wellcare Giveback Open (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Wellcare Assist 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 Simple Open (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Dual Complete NC-S2 (PPO D-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Dual Complete NC-S001 (PPO D-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
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 Reserve (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
Senior Care (HMO I-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Wellcare Simple (HMO-POS)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0017 (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
AARP Medicare Advantage from UHC NC-0019 (PPO)
via insulin glargine-yfgn 		Tier 3 - Preferred Brand — — — None
Liberty Medicare Advantage (HMO C-SNP)
via insulin glargine-yfgn 		Tier 6 - Specialty Plus — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 7 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
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 - 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 - 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 - 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
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 7 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via insulin glargine-yfgn 		Tier 3 - Non-Formulary ✓ — — PA
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