Formulary Insulins

FIASP FLEXTOUCH U-100 INSULIN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML) QL (30 per 28 days)

FIASP PENFILL U-100 INSULIN SUBCUTANEOUS CARTRIDGE 100 UNIT/ML (3 ML) QL (30 per 28 days)

FIASP U-100 INSULIN SUBCUTANEOUS SOLUTION 100 UNIT/ML QL (40 per 28 days)

HUMULIN R U-500 (CONC) INSULIN SUBCUTANEOUS SOLUTION 500 UNIT/ML QL (40 per 28 days)

HUMULIN R U-500 (CONC) KWIKPEN SUBCUTANEOUS INSULIN PEN 500 UNIT/ML (3 ML) QL (24 per 28 days)

NOVOLIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION 100 UNIT/ML (70- 30) QL (40 per 28 days)

NOVOLIN 70-30 FLEXPEN U100 SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (70-30) QL (30 per 28 days)

NOVOLIN N FLEXPEN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML) QL (30 per 28 days)

NOVOLIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION 100 UNIT/ML QL (40 per 28 days)

NOVOLIN R FLEXPEN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML) QL (30 per 28 days)

NOVOLIN R REGULAR U-100 INSULN INJECTION SOLUTION 100 UNIT/ML QL (40 per 28 days)

NOVOLOG FLEXPEN U-100 INSULN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML) (insulin aspart u-100) QL (30 per 28 days)

NOVOLOG MIX 70-30 U-100 SUBCUTANEOUS SOLUTION 100 UNIT/ML (70- 30) (insulin asp prt-insulin aspart) QL (40 per 28 days)

NOVOLOG MIX 70- 30FLEXPEN U-100 SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (70-30) (insulin asp prt-insulin aspart) 6 QL (30 per 28 days)

NOVOLOG PENFILL U-100 INSULIN SUBCUTANEOUS CARTRIDGE 100 UNIT/ML (insulin aspart u-100) 6 QL (30 per 28 days) NOVOLOG U-100 INSULIN ASPART SUBCUTANEOUS SOLUTION 100 UNIT/ML (insulin aspart u-100) 6 QL (40 per 28 days)

SEMGLEE(INSULIN GLARGINE-YFGN) SUBCUTANEOUS SOLUTION 100 UNIT/ML (insulin glargine-yfgn) QL (40 per 28 days) SEMGLEE(INSULIN GLARGYFGN)PEN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML) (insulin glargine-yfgn) QL (30 per 28 days)

TOUJEO MAX U-300 SOLOSTAR SUBCUTANEOUS INSULIN PEN 300 UNIT/ML (3 ML) QL (18 per 28 days)

TOUJEO SOLOSTAR U-300 INSULIN SUBCUTANEOUS INSULIN PEN 300 UNIT/ML (1.5 ML) QL (13.5 per 28 days)

SOLIQUA 100/33 SUBCUTANEOUS INSULIN PEN 100 UNIT-33 MCG/ML QL (30 per 30 days)

XULTOPHY 100/3.6 SUBCUTANEOUS INSULIN PEN 100 UNIT-3.6 MG /ML (3 ML) QL (15 per 28 days)