sub-q insulin

20 unit — Device

INSULINS

Also known as: V-GO 20 sub-q insulin device, 20 unit sub-q insulin device, 30 unit V-GO 30 sub-q insulin device, 40 unit V-GO 40

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 2 hours, 3 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA
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