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Soliqua is a brand of insulin glargine / lixisenatide. What agents check before quoting it: how many 2027 Part D plans cover it, on which tier, with what restrictions and copays, by plan type, carrier and state.
In 2027, 4,702 of 5,492 Medicare Part D and Medicare Advantage drug plans (85.6%) list Soliqua on their formulary, across 213 of 286 formularies. The most common placement is tier 3 (4,331 plans, 92.1% of those covering it). 0 of the covering plans require prior authorization (0%), 20 step therapy and 4,596 a quantity limit.
450 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $41, 109 of them $0; 4,252 charge coinsurance instead — median 20% of the drug's cost. Covered insulin is capped at $35 for a month's supply.
2026: 5,035 of 5,496 plans covered it (91.6%); 2027: 4,702 of 5,492 (85.6%).
Of 4,367 plans offered in both years, 20 added it to the formulary and 122 dropped it.
Among plans covering it both years, 34 moved it to a higher tier and 211 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 70 |
| Tier 2 | 236 |
| Tier 3 | 4,331 |
| Tier 4 | 34 |
| Tier 5 | 2 |
| Tier 6 | 29 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 257 of 323 | 79.6% | 0% |
| Medicare Advantage with drugs (MA-PD) | 2,727 of 3,200 | 85.2% | 0% |
| Special needs plans (SNP) | 1,718 of 1,969 | 87.3% | 0% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 846 of 846 | Tier 3 | 0 |
| UnitedHealthcare | 830 of 830 | Tier 3 | 0 |
| Devoted Health | 446 of 728 | Tier 3 | 0 |
| Aetna Medicare | 611 of 631 | Tier 3 | 0 |
| Wellcare | 234 of 268 | Tier 2 | 0 |
| HealthSpring | 226 of 226 | Tier 3 | 0 |
| Kaiser Permanente | 0 of 112 | No tier listed | 0 |
| SCAN Health Plan | 83 of 83 | Tier 3 | 0 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 80 of 80 | Tier 3 | 0 |
| Alignment Health Plan | 77 of 77 | Tier 3 | 0 |
| Anthem Blue Cross and Blue Shield | 74 of 74 | Tier 3 | 0 |
| Wellpoint | 63 of 63 | Tier 3 | 0 |
| Priority Health Medicare | 40 of 40 | Tier 3 | 0 |
| CarePlus Health Plans, Inc. | 37 of 37 | Tier 3 | 0 |
| Zing Health | 36 of 36 | Tier 3 | 0 |
| Capital Blue Cross | 8 of 35 | Tier 3 | 0 |
| Prominence Health Plan | 29 of 29 | Tier 3 | 0 |
| Medica | 27 of 27 | Tier 3 | 0 |
| Anthem HealthKeepers | 26 of 26 | Tier 3 | 0 |
| Blue Cross Blue Shield of Michigan | 26 of 26 | Tier 3 | 0 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 101 of 114 | 88.6% |
| Alaska | 7 of 9 | 77.8% |
| American Samoa | 1 of 1 | 100% |
| Arizona | 136 of 147 | 92.5% |
| Arkansas | 79 of 85 | 92.9% |
| California | 320 of 397 | 80.6% |
| Colorado | 82 of 106 | 77.4% |
| Connecticut | 47 of 54 | 87% |
| Delaware | 38 of 43 | 88.4% |
| District of Columbia | 8 of 12 | 66.7% |
| Florida | 441 of 545 | 80.9% |
| Georgia | 127 of 149 | 85.2% |
| Guam | 1 of 1 | 100% |
| Hawaii | 36 of 50 | 72% |
| Idaho | 42 of 45 | 93.3% |
| Illinois | 117 of 132 | 88.6% |
| Indiana | 122 of 138 | 88.4% |
| Iowa | 55 of 64 | 85.9% |
| Kansas | 71 of 84 | 84.5% |
| Kentucky | 113 of 121 | 93.4% |
| Louisiana | 112 of 125 | 89.6% |
| Maine | 51 of 52 | 98.1% |
| Maryland | 33 of 49 | 67.3% |
| Massachusetts | 59 of 89 | 66.3% |
| Michigan | 159 of 182 | 87.4% |
| Minnesota | 52 of 63 | 82.5% |
| Mississippi | 97 of 104 | 93.3% |
| Missouri | 150 of 170 | 88.2% |
| Montana | 25 of 27 | 92.6% |
| Nebraska | 42 of 51 | 82.4% |
| Nevada | 95 of 100 | 95% |
| New Hampshire | 21 of 25 | 84% |
| New Jersey | 63 of 73 | 86.3% |
| New Mexico | 57 of 68 | 83.8% |
| New York | 196 of 215 | 91.2% |
| North Carolina | 150 of 176 | 85.2% |
| North Dakota | 24 of 26 | 92.3% |
| Northern Mariana Islands | 1 of 1 | 100% |
| Ohio | 153 of 171 | 89.5% |
| Oklahoma | 68 of 81 | 84% |
| Oregon | 67 of 92 | 72.8% |
| Pennsylvania | 249 of 323 | 77.1% |
| Puerto Rico | 64 of 64 | 100% |
| Rhode Island | 28 of 29 | 96.6% |
| South Carolina | 82 of 89 | 92.1% |
| South Dakota | 28 of 30 | 93.3% |
| Tennessee | 140 of 156 | 89.7% |
| Texas | 372 of 407 | 91.4% |
| U.S. Virgin Islands | 1 of 1 | 100% |
| Utah | 48 of 53 | 90.6% |
| Vermont | 13 of 14 | 92.9% |
| Virginia | 125 of 144 | 86.8% |
| Washington | 84 of 114 | 73.7% |
| West Virginia | 59 of 69 | 85.5% |
| Wisconsin | 88 of 96 | 91.7% |
| Wyoming | 11 of 13 | 84.6% |
Medicare Part D paid for 473,987 30-day fills of Soliqua in 2024 for about 59,452 enrollees, at an average total cost of $630.51 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Soliqua and the rest of a client's list on every plan in their county.
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Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client. Source: CMS Part D formulary files (release 10/08/2026). CMS formulary data.