2. Preferred (PA*/ST**)
4. Covered (PA*/ST**)
5. Not covered by formulary
*PA = Prior Authorization
**ST = Step Therapy
SOURCE = MMITAnalytics, accessed MMM 2017
Please check directly with the health plan to confirm coverage.
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Sanofi insulins included in this program are: ADMELOG® (insulin lispro injection) 100 Units/mL, TOUJEO® (insulin glargine injection) 300 Units/mL, LANTUS® (insulin glargine injection) 100 Units/mL and APIDRA® (insulin glulisine injection) 100 Units/mL
If you or your office needs additional information, call 855-443-1577 8 AM – 8 PM ET M-F (except holidays)
Patients using a mail order pharmacy can still use this savings offer if they activate a co-pay card and submit for a rebate up to the maximum savings limit. See more at PatientRebateOnline.com or call 866-390-5622
For a patient who needs 2 packs of pens per month, their supply of Humalog would cost $654 per month
With the Insulins Valyou Savings Program, their monthly supply of ADMELOG costs $99 per month
ADMELOG price listed is with use of the Insulins Valyou Savings Program savings card. Prices for Humalog, Insulin Lispro, and NovoLog reflect GoodRx pricing in December 2019. GoodRx is a widely used prescription savings program.
This is for example purposes only. Different websites and pharmacies will have different pricing. Pricing is subject to change, so be sure to visit prescription savings program websites to find the latest pricing options.
The Insulins Valyou Savings Program applies to the cost of medication. There are other relevant costs associated with overall treatment. The products listed are not therapeutically equivalent and are not interchangeable.
1. ADMELOG Prescribing Information.
2. Humalog Prescribing Information.