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Diabetes

Pharmacy Benefits

Eligibility
  • Covered Health Plan Subscribers, Spouses (Domestic Partners) and Dependents.
  • Your prescription for diabetic prescriptions or supplies, when filled, will automatically have the benefits below.
  • $0 Copay Supplies
Formulary Diabetic Supplies covered at $0 copay includes
  • Syringes
  • Needles
  • Lancets and Test Strips – Limited to a quantity of 200 per 30-day-supply
  • Dexcom G6® CGM
Out-of-Pocket Expenses

THT covers 75% of the cost of formulary antidiabetic Insulin products with a maximum copay structure per requested day supply.

  • Max Copay $20 – 1-34 Days Supply
  • May Copay $40 – 35-60 Days Supply
  • Max Copay $60 – 61-90 Days Supply
Covered Insulin Products

*The formulary serves as the source of record for all covered medications. To view the formulary, visit the pharmacy page.

  • Basaglar Kwikpen U-100
  • Basaglar Tempo Pen U-100
  • Fiasp
  • Fiasp FlexTouch
  • Fiasp PenFill
  • Fiasp PumpCart
  • Humalog Junior Kwikpen
  • Humulin R
  • Humulin R U-500 Kwikpen
  • Myxredlin
  • Novolin 70-30
  • Novolin 70-30 Flexpen
  • Novolin N
  • Novolin N Flexpen
  • Novolin R
  • Novolin R Flexpen
  • Novolog
  • Novolog Flexpen
  • Novolog Mix 70-30
  • Semglee (Yfgn)
  • Semglee (Yfgn) Pen
  • Soliqua 100-33
  • Toujeo Max SoloStar
  • Toujeo SoloStar
  • Tresiba
  • Tresiba FlexTouch U-100
  • Tresiba FlexTouch U-200
Non-Insulin Products

Non-insulin antidiabetic injectable products will incur the applicable standard copays (listed on the pharmacy page) and are not included in the custom copay structure above.

Covered non-insulin products (subject to prior authorization/step therapy):

  • GLP-1 Agonists
  • TRULICITY, BYDUREON, BYETTA, OZEMPIC, RYBELSUS, ADLYXIN, TANZEUM,
  • SGLT-2 Inhibitors
  • FARXIGA, JARDIANCE, INVOKANA, STEGLATRO
  • SGLT-2 Combination
  • XIGDUO XR, SYNJARDY, SYNJARDY XR, INVOKAMET, INVOKAMET XR, SEGLUROMET
  • SGLT-2 Inhibitors and Dipeptidyl Peptidase 4 Inhibitors Combination
  • QTERN, GLYXAMBI, STEGLUJAN, TRIJARDY XR
  • Dipeptidyl Peptidase 4 Inhibitors
  • JANUVIA, TRADJENTA, ONGLYZA, NESINA
  • Dipeptidyl Peptidase 4 Inhibitors Combination
  • KAZANO, JENTADUETO, JENTADUETO XR, KOMBIGLYZE XR, JANUMET, JANUMET XR, OSENI

Behavorial Health Support

People with diabetes are 2 to 3 times more likely to need behavioral health support than their peers. Help is available via tele-behavioral options or in-person therapy handled by our Concierge Behavioral Assistance Team.

Find a provider best suited for your needs.
Find a Behavioral Health Provider

Nutrition Support

If you’re living with diabetes, you may need to change some things about your daily routine to manage your health.

Establish a one-on-one relationship with a registered dietitian. This is available at no cost, and there is no limit on the number of sessions.

For more information or to schedule a one-on-one session, please call Health Education and Wellness/the program directly at (702) 877-5356, Monday through Friday, 8 a.m. to 5 p.m.

Diabetes Care Management

If you’re an adult with Type 1 or Type 2 diabetes, you have no-cost access to one-on-one support from a registered nurse who specializes in diabetes at no additional cost.

The nurse will talk to you by phone to help you set goals to manage your diabetes. Topics for discussion include:

  • Staying motivated
  • Eating healthy
  • Diabetes health screenings
  • Managing medications

For more information or to schedule a one-on-one session, please call the Disease Management program directly at (702) 242-7346, Monday through Friday, 8 a.m. to 5 p.m.

Virtual Diabetes Classes

Feeling better changes everything! Join us for Understanding the Basics, a weekly interactive program with a registered dietitian. Learn ways to manage your blood sugar and stay well.

For more information, please call Health Education and Wellness/the program directly at (702) 877-5356, Monday through Friday, 8 a.m. to 5 p.m.

Topics covered in this class include:
  • Understanding diabetes
  • Lowering blood sugar
  • Simplifying carb counting
  • Meal planning essentials
  • Stress management
  • Exercise and blood sugar

Call 702-877-5356  Monday through Friday, 8 a.m. to 5 p.m.

Prediabetes Program

What is prediabetes? With prediabetes, your blood sugar levels are higher than normal but not high enough to be diagnosed as type 2 diabetes. Prediabetes increases the risk of type 2 diabetes, heart disease and stroke.

Five steps to improving your health after a prediabetes diagnosis:

  1. Attend a virtual one-hour prediabetes overview taught by a registered dietitian to learn the steps you can take to reduce your risk of developing type 2 diabetes. Registration is required.
  2. Talk with a registered dietitian to take the guesswork out of your diet based on your medical needs and lifestyle preferences. Options include a one-time consultation or weekly support by phone.
  3. Work with a certified personal trainer to help you meet your fitness goals.
  4. Talk with a registered nurse specializing in diabetes care to understand your lab work and medications.
  5. Receive ongoing support to make meaningful lifestyle changes and improve your overall health.

Empowered!, a diabetes prevention program, is available at no additional cost. For more information, please call Health Education and Wellness/the program directly at (702) 877-5356, Monday through Friday, 8 a.m. to 5 p.m.

Topics covered in this class include:
  • Understanding diabetes
  • Lowering blood sugar
  • Simplifying carb counting
  • Meal planning essentials
  • Stress management
  • Exercise and blood sugar