Zegalogue
Generic: dasiglucagon
6MG/0.6ML — Auto-Injector
Also known as:
dasiglucagon
ZEGALOGUE SOAJ .6MG/0.6ML
Compare Prices
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Medicare Part D
62 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| HumanaChoice Giveback H5525-035 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Dual (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Value Plus (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Prime (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature Care (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Enhanced (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature Extra (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature Giveback (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED DUAL FULL 013 NC (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED DUAL PLUS 006 NC (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED DUAL 009 NC (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CORE 001 NC (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED GIVEBACK 002 NC (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED GIVEBACK 012 NC (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE 001 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE GIVEBACK 002 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE 003 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE GIVEBACK 004 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE 005 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE GIVEBACK 006 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE 008 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| DEVOTED CHOICE GIVEBACK 009 NC (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H1036-137 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H1036-233 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Dual Select H1036-307 (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus Giveback H1036-318 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H1036-335 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| HumanaChoice Giveback H5216-017 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| HumanaChoice H5216-211 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Full Access H5525-034 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H6622-061 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Choice H8145-004 (PFFS) | Tier 3 - Preferred Brand | — | — | — | None |
| HumanaChoice SNP-DE H5525-036 (PPO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| HumanaChoice H5525-049 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| HumanaChoice H5525-050 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| HumanaChoice H5525-070 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Dual Select H5525-072 (PPO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| HumanaChoice H5525-083 (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H6622-025 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H6622-026 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Dual Select H6622-027 (HMO-POS D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H6622-057 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus H6622-060 (HMO-POS) | Tier 3 - Preferred Brand | — | — | — | None |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | Tier 6 - Specialty Plus | — | — | — | None |