| 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 |