XULTOPHY 100/3.6- insulin degludec-liraglutide
100-3.6 unit — Solution
Also known as:
XULTOPHY 100/3.6- insulin degludec-liraglutide sol pen-inj 100-3.6 unit-mg/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.
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| 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 |