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Therapeutic Class Search: blood glucose regulators/insulins
40 drug(s) found
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Results

Brand Name
Generic Name		Therapeutic Class
Sub-Class		Dose/StrengthStatusNotes & Restrictions
ASSURE ID INSULIN SAFETY SYRINGE 1 ML 29 GAUGE X 1/2"
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SYRINGE 1 mL 29 gauge x 1/2"
GAUZE PAD TOPICAL BANDAGE 2 X 2 "
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		BANDAGE 2 X 2 "
INSULIN SYRINGE-NEEDLE U-100 SYRINGE 0.3 ML 29 GAUGE
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SYRINGE 0.3 mL 29 gauge
INSULIN SYRINGE-NEEDLE U-100 SYRINGE 1 ML 29 GAUGE X 1/2"
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SYRINGE 1 mL 29 gauge x 1/2"
INSULIN SYRINGE-NEEDLE U-100 SYRINGE 1/2 ML 28 GAUGE
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SYRINGE 1/2 mL 28 gauge
PEN NEEDLE, DIABETIC NEEDLE 29 GAUGE X 1/2"
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		NEEDLE 29 gauge x 1/2"
NOVOLIN 70-30 FLEXPEN U-100 SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (70-30)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (70-30)
NOVOLIN N FLEXPEN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
NOVOLIN R FLEXPEN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
FIASP FLEXTOUCH U-100 INSULIN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
FIASP PENFILL U-100 INSULIN SUBCUTANEOUS CARTRIDGE 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		CARTRIDGE 100 unit/mL (3 mL)
FIASP U-100 INSULIN SUBCUTANEOUS SOLUTION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL
INSULIN ASP PRT-INSULIN ASPART SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (70-30)
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (70-30)
INSULIN ASP PRT-INSULIN ASPART SUBCUTANEOUS SOLUTION 100 UNIT/ML (70-30)
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL (70-30)
INSULIN ASPART U-100 SUBCUTANEOUS CARTRIDGE 100 UNIT/ML
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		CARTRIDGE 100 unit/mL
INSULIN ASPART U-100 SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
INSULIN ASPART U-100 SUBCUTANEOUS SOLUTION 100 UNIT/ML
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL
LANTUS SOLOSTAR U-100 INSULIN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
LANTUS U-100 INSULIN SUBCUTANEOUS SOLUTION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL
LEVEMIR FLEXTOUCH U-100 INSULN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
LEVEMIR U-100 INSULIN SUBCUTANEOUS SOLUTION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL
NOVOLOG FLEXPEN U-100 INSULIN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
NOVOLOG MIX 70-30 U-100 INSULN SUBCUTANEOUS SOLUTION 100 UNIT/ML (70-30)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL (70-30)
NOVOLOG MIX 70-30FLEXPEN U-100 SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (70-30)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (70-30)
NOVOLOG PENFILL U-100 INSULIN SUBCUTANEOUS CARTRIDGE 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		CARTRIDGE 100 unit/mL
NOVOLOG U-100 INSULIN ASPART SUBCUTANEOUS SOLUTION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL
TOUJEO MAX U-300 SOLOSTAR SUBCUTANEOUS INSULIN PEN 300 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 300 unit/mL (3 mL)
TOUJEO SOLOSTAR U-300 INSULIN SUBCUTANEOUS INSULIN PEN 300 UNIT/ML (1.5 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 300 unit/mL (1.5 mL)
TRESIBA FLEXTOUCH U-100 SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (3 mL)
TRESIBA FLEXTOUCH U-200 SUBCUTANEOUS INSULIN PEN 200 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 200 unit/mL (3 mL)
TRESIBA U-100 INSULIN SUBCUTANEOUS SOLUTION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL
XULTOPHY 100/3.6 SUBCUTANEOUS INSULIN PEN 100 UNIT-3.6 MG /ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit-3.6 mg /mL (3 mL)
NOVOLIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION 100 UNIT/ML (70-30)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SUSPENSION 100 unit/mL (70-30)
NOVOLIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SUSPENSION 100 unit/mL
NOVOLIN R REGULAR U-100 INSULN INJECTION SOLUTION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL
INSULIN LISPRO PROTAMIN-LISPRO SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (75-25)
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL (75-25)
INSULIN LISPRO SUBCUTANEOUS INSULIN PEN, HALF-UNIT 100 UNIT/ML
Generic Indicator
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN, HALF-UNIT 100 unit/mL
LYUMJEV KWIKPEN U-100 INSULIN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 100 unit/mL
LYUMJEV KWIKPEN U-200 INSULIN SUBCUTANEOUS INSULIN PEN 200 UNIT/ML (3 ML)
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		INSULIN PEN 200 unit/mL (3 mL)
LYUMJEV U-100 INSULIN SUBCUTANEOUS SOLUTION 100 UNIT/ML
Blood Glucose Regulators
Insulins		Blood Glucose Regulators
Insulins		SOLUTION 100 unit/mL

Definition of Status

IconStatusDefinition
Tier 1Tier 1This is the lowest cost sharing tier that includes preferred generic drugs. Details about your specific benefit for each tier are included in your Summary of Benefits.
Tier 2 GenericTier 2 GenericThis tier includes generic drugs.
Tier 3 Preferred BrandTier 3 Preferred BrandThis tier includes preferred brand name drugs and some higher cost generic drugs.
Tier 4 Non-Preferred DrugTier 4 Non-Preferred DrugThis tier includes brand name drugs and some higher cost generic drugs.
Tier 5 SpecialtyTier 5 SpecialtyThis is the highest cost sharing tier that includes brand name and generic drugs.
Tier 6 Select Care DrugsTier 6 Select Care DrugsThis is the lowest cost sharing tier at $0 that includes generic drugs targeting specific conditions (e.g. some drugs used to treat diabetes, high cholesterol, or high blood pressure).
Non-FormularyNon-FormularyYour drug is not listed on the Formulary (Drug List). You can try to find a covered formulary alternative in the same therapeutic class. If this is not an option and the drug is not excluded under Medicare Part D, you can request an exception. Exceptions are not granted for excluded Part D medications. To find out how to request a formulary exception, click here.

Definition of Restrictions

IconRestrictionDefinition
Attention!Attention!This note will have additional information regarding the drug.
Generic IndicatorGeneric IndicatorThis is a generic drug. A generic drug is approved by the FDA as having the same active ingredient as the brand name drug.  Generally, generic drugs cost less than brand name drugs.
Limited AccessLimited AccessThis prescription may be available only at certain pharmacies.  For more information consult your Pharmacy Directory or contact AdventHealth Care Advantage Customer Service at 1.855.882.6467 or, for TTY users, 1.800.955.8771, weekdays from 8 a.m. to 8 p.m. and Saturdays from 8 a.m. to noon. From October 1 through February 15, we are available seven days a week from 8 a.m. to 8 p.m. or visit hf.org/ahap.
Prior AuthorizationPrior AuthorizationAdventHealth Care Advantage requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from AdventHealth Care Advantage before you fill your prescriptions. If you do not get approval, AdventHealth Care Advantage may not cover the drug.
Prior Authorization - New StartsPrior Authorization - New Starts

AdventHealth Care Advantage requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from AdventHealth Care Advantage before you fill your prescriptions. If you do not get approval, AdventHealth Care Advantage may not cover the drug. Prior authorization for this drug applies to new starts only.
Prior Authorization- Part B vs. Part DPrior Authorization- Part B vs. Part DThis prescription drug has a Part B versus Part D administrative prior authorization requirement. This drug may be covered under Medicare Part B or Part D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination.
Quantity LimitQuantity LimitFor certain drugs, AdventHealth Care Advantage limits the amount of the drug that will be covered. For example, “30 EA per 30 days” would mean your coverage of this drug is limited to 30 pills every 30 days, or 1 pill per day.
Step TherapyStep TherapyIn some cases, AdventHealth Care Advantage requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug 1 and Drug 2 both treat your medical condition, AdventHealth Care Advantage may not cover Drug 2 unless you try Drug 1 first. If Drug 1 does not work for you, AdventHealth Care Advantage will then cover Drug 2.