Tresiba Flextouch Sopn

100UNIT

Also known as: TRESIBA FLEXTOUCH SOPN 100UNIT/ML, 200UNIT/ML TRESIBA FLEXTOUCH SOPN 100UNIT/ML,

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

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 26 minutes ago

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

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 26 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Tier 0 - $0 Copay (ACA Preventive)	—	—	✓ $0 Copay per 30-day	QL
NC State Health Plan - 70/30 Standard PPO 2026	Tier 0 - $0 Copay (ACA Preventive)	—	—	✓ $0 Copay per 30-day	QL
NC State Health Plan - HDHP 2026	Tier 0 - $0 Copay (ACA Preventive)	—	—	✓ $0 Copay per 30-day	QL