| 02467860 | INSULIN DEGLUDEC | Tresiba 100U/mL Inj Sol-3X5mL Cart Pk | NOO | 116.5600 | 116.5600 | NO | NO | NO |
| 02467887 | INSULIN DEGLUDEC | Tresiba 200U/mL Inj Sol-Flextouch Pref Pen 3x3mL Pk | NOO | 139.8800 | 139.8800 | NO | NO | NO |
| 02467879 | INSULIN DEGLUDEC | Tresiba 100U/mL Inj Sol-Flextouch Pref Pen 5x3mL Pk | NOO | 116.5600 | 116.5600 | NO | NO | NO |
| 02271842 | INSULIN DETEMIR | Levemir Penfill 100U/mL Inj Sol-5x3mL Pk | NOO | 116.7600 | 116.7600 | NO | NO | NO |
| 02412829 | INSULIN DETEMIR | Levemir Flextouch 100U/mL Inj Sol-Pref Disp Pen 5X3mL Pk | NOO | 115.2900 | 115.2900 | NO | NO | NO |
| 02441829 | INSULIN GLARGINE | TOUJEO SoloSTAR 300U/mL Inj Sol-1.5mL Pref Pen | SAC | 26.4333 | 26.4333 | NO | NO | NO |
| 02245689 | INSULIN GLARGINE | Lantus-(Vial) 100U/mL Inj Sol-10mL Vial Pk | SAV | 61.6900 | 61.6900 | NO | YES | NO |
| 02526441 | INSULIN GLARGINE | Semglee 100U/mL Inj Sol-3mL Pref Pen | BSB | 12.7668 | 12.7668 | NO | NO | NO |
| 02493373 | INSULIN GLARGINE | Toujeo DoubleSTAR 300U/mL Inj Sol-3mL Pref Pen | SAC | 52.8666 | 52.8666 | NO | NO | NO |
| 02444844 | INSULIN GLARGINE | Basaglar 100U/mL Inj Sol-Cartridge 5x3mL Pk | LIL | 84.7000 | 84.7000 | NO | NO | NO |
| 02461528 | INSULIN GLARGINE | Basaglar 100U/mL Inj Sol-KwikPen (80U) Pref Pen 5x3mL Pk | LIL | 84.7000 | 84.7000 | NO | NO | NO |