Is there a Novolog U200?

I have been on Humilog U200 in my pump but just got a letter from CVS/Caremark that the new formulary only approves Novolog. I can’t find anywhere online that Novolog come in U200 but only U100. Can’t believe they actually expect someone to go back to using twice as much insulin and twice as many infusion sets and reservoirs.

I do not think so. I think only Lilly makes U 200

You make a good case for an exception and/or appeal. Perhpas if your plan cannot deliver a U200 rapid acting analog alternative and your current care is based on a U200 concentration, maybe the plan would let you stick with the Humalog. They should. They are not providing an equivalent therapy.

I did a quick search and the only other U200 insulins are in the longer acting variety like Tresiba U200.

I just got back from CVS where I spoke to the pharmacist and she said there is no Novolog U200. My endo’s office told me there was and sent a new script for Novolog. I’ve got a call into the endo’s office for him to call me. He has to tell the insurance company I need the U200. Up to now I’ve only been dealing with medical assistants so I think something is getting lost in translation. Or it’s time to get a new endo. He is very good, but if he’s so busy he can’t take the time to look at your charts it doesn’t matter how good he is.

There is no novolog u200 at the moment. In the 70s it was determined that having different insulin concentrations was just too dangerous because people would use the wrong syringe and overdose and die.

The introduction of pens really reduced that risk because normally you don’t take the insulin out of the pen and you deliver it the way it was intended.
The problem is that changes like this take a long time to switch back the thinking on it.

They will likely never approve u200 vials for the same safety reasons. But you can just take it out of the pen like someone already suggested.

The u500 that Lilly makes is regular insulin not log insulin. That’s why it takes so much longer to bring your sugar down.
It also sakes your body longer to get it to your bloodstream so it’s thought of as both basal and bolus insulin together.

If I was a pump manufacturer I would make a pump that could house the pen cartridges and just snap in a new one.