3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar]
insulin glargine
RxCUI: 1736863
What the CMS Formulary Data Shows for 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar]
Per the CMS 2026 Part D formulary file, 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] (RxNorm concept RXCUI 1736863, generic name insulin glargine) appears on 9 distinct formulary files spanning 49 Medicare Part D plan offerings - 1% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.1.
Real-world access to 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] depends on utilization management as much as tier placement: 11.1% of covering formularies require prior authorization. 22.2% require step therapy. 0% apply quantity limits.
Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] today.
Coverage Details
- Formularies covering
- 9
- Plans covering
- 49
- Coverage rate
- 1%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 11.1% of formularies
- Step therapy required
- 22.2% of formularies
- Quantity limits
- 0% of formularies
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar]
49 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| CCA One Care (HMO D-SNP) | COMMONWEALTH CARE ALLIANCE, INC. | T1 | No | $0 | MA |
| CCA Senior Care Options (HMO D-SNP) | COMMONWEALTH CARE ALLIANCE, INC. | T1 | No | $0 | MA |
| Jefferson Health Plans Choice (PPO) | PARTNERS INSURANCE COMPANY OF NEW JERSEY INC | T3 | No | $0 | NJ |
| Jefferson Health Plans Complete (HMO) | HEALTH PARTNERS PLANS, INC. | T3 | No | $0 | PA |
| Jefferson Health Plans Silver (HMO) | HEALTH PARTNERS PLANS, INC. | T3 | No | $0 | NJ |
| Jefferson Health Plans Elite (HMO) | HEALTH PARTNERS PLANS, INC. | T3 | No | $0 | NJ |
| Jefferson Health Plans Special (HMO D-SNP) | HEALTH PARTNERS PLANS, INC. | T3 | No | $0 | PA |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) | HEALTH PARTNERS PLANS, INC. | T3 | No | $0 | PA |
| Jefferson Health Plans Select (HMO D-SNP) | HEALTH PARTNERS PLANS, INC. | T3 | No | $0 | PA |
| Jefferson Health Plans Flex (PPO) | PARTNERS INSURANCE COMPANY INC | T3 | No | $0 | PA |
| Jefferson Health Plans Giveback (HMO) | HEALTH PARTNERS PLANS, INC. | T3 | No | $0 | PA |
| Health First Rewards H1099-014 (HMO) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| Health First SunSaver H1099-016 (HMO) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| Health First Complete Care H1099-023 (HMO) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| Health First Emerald Plus H1099-024 (HMO) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| Health First Premier Access H1099-025 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| Health First Emerald Plus H1099-026 (HMO) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| Health First Premier Access H1099-027 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| Health First Emerald Plus H1099-028 (HMO) | HEALTH FIRST HEALTH PLANS | T3 | No | $0 | FL |
| CareOregon Advantage Plus (HMO D-SNP) | HEALTH PLAN OF CAREOREGON, INC. | T3 | No | $0 | OR |
| Health First Value H1099-006 (HMO) | HEALTH FIRST HEALTH PLANS | T3 | No | $15.00 | FL |
| Jefferson Health Plans Flex Pro (PPO) | PARTNERS INSURANCE COMPANY INC | T3 | No | $18.00 | PA |
| Jefferson Health Plans Choice Plus (PPO) | PARTNERS INSURANCE COMPANY OF NEW JERSEY INC | T3 | No | $29.00 | NJ |
| Jefferson Health Plans Flex Plus (PPO) | PARTNERS INSURANCE COMPANY INC | T3 | No | $32.70 | PA |
| Jefferson Health Plans Prime (HMO) | HEALTH PARTNERS PLANS, INC. | T3 | No | $32.70 | PA |
| Health First Classic H1099-001 (HMO-POS) | HEALTH FIRST HEALTH PLANS | T3 | No | $49.40 | FL |
| Network Health Select (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $0 | WI |
| Network Health Go (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $0 | WI |
| Network Health Anywhere (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $0 | WI |
| Network Health Choice (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $0 | WI |
| Network Health Zero (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $0 | WI |
| Personal Choice 65 Achieve Rx (PPO) | QCC INSURANCE COMPANY | T4 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $0 | PA |
| Keystone 65 Focus Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $0 | PA |
| Keystone 65 Basic Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $0 | PA |
| AmeriHealth Medicare Core (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T4 | No | $0 | NJ |
| AmeriHealth Medicare Ultimate (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T4 | No | $0 | NJ |
| Network Health Cares (PPO D-SNP) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $21.10 | WI |
| Keystone 65 Essential Rx (HMO-POS) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $31.00 | PA |
| AmeriHealth Medicare Enhanced (PPO) | AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY | T4 | No | $36.00 | NJ |
| Network Health PlusRx (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $38.60 | WI |
| Keystone 65 Select Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $47.00 | PA |
| Keystone 65 Preferred Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $59.70 | PA |
| Keystone 65 Select Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $63.50 | PA |
| Keystone 65 Preferred Rx (HMO) | KEYSTONE HEALTH PLAN EAST, INC. | T4 | No | $79.70 | PA |
| Personal Choice 65 Plus Rx (PPO) | QCC INSURANCE COMPANY | T4 | No | $81.20 | PA |
| Network Health PremierRx (PPO) | NETWORK HEALTH INSURANCE CORPORATION | T4 | Yes | $92.80 | WI |
| Personal Choice 65 Rx (PPO) | QCC INSURANCE COMPANY | T4 | No | $102.20 | PA |
| Personal Choice 65 Rx (PPO) | QCC INSURANCE COMPANY | T4 | No | $112.70 | PA |
Frequently Asked Questions
Is 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] covered by Medicare Part D?
Yes, 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] is covered by 49 Medicare Part D plans (1% of all Part D formularies).
What tier is 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] on Medicare Part D plans?
3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] averages Tier 3.1 across Part D plans, ranging from Tier 1 to Tier 4.
Does 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar] require prior authorization?
11.1% of Part D formularies require prior authorization for 3 ML insulin glargine 100 UNT/ML Pen Injector [Basaglar]. Step therapy: 22.2%. Quantity limits: 0%.
Read our methodology - how this data is sourced, computed, and verified.