Diabetes

Insulins (Bolus)
Prandial

Rapid-Acting Insulin Analogues (clear):

Aspart
Fiasp^®
Onset of action: 4 min
Peak of action: 0.5 to 1.5 h
Duration of action: 3 to 5 h
Stability at room temperature: 28 days
Not covered / Private coverage
Video demo. of the injection technic with the Flextouch Pen

Presentation

- Cartridge
- Vial
- Pre-filled insulin pen

Devices

- NovoPen^® 4 and 5 (memory)
- NovoPen Echo^® (0.5 un - memory)
- Fiasp^® FlexTouch^® (pre-filled)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Aspart
NovoRapid^®
Onset of action: 9 to 20 min
Peak of action: 1 to 1.5 h
Duration of action: 3 to 5 h
Stability at room temperature: 28 days
Covered
See Infolettre RAMQ
Video demo. of the injection technic with the Flextouch Pen

Presentation

- Cartridge
- Vial
- Pre-filled insulin pen

Devices

Aspart
Trurapi^® (Biosimilar)
Onset of action: 9 to 20 min
Peak of action: 1 to 1.5 h
Duration of action: 3 to 5 h
Stability at room temperature: 28 days
Covered
See Infolettre RAMQ
Information Brochure

Presentation

- Cartridge
- Pre-filled insulin pen

Devices

- JuniorSTAR^TM (0.5 un)
- ClikSTAR^®
- Trurapi^® SoloSTAR^® (pre-filled)
- AllStar^TM Pro
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Aspart
Kirsty^® (Biosimilar)
Onset of action: 9 to 20 min
Peak of action: 1 to 1.5 h
Duration of action: 3 to 5 h
Stability at room temperature: 28 days
Covered
See Infolettre RAMQ
Copayment card
Guide

Presentation

- Pre-filled insulin pen

Devices

-Pre-filled insulin pen only (looks like Sanofi's Solostar pre-filled pen)
*Warning. Both Kirsty and Semglee pens are the same color
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Glulisine
Apidra^®
Onset of action: 10 to 15 min
Peak of action: 1 to 1.5 h
Duration of action: 3.5 to 5 h
Stability at room temperature: 28 days
Covered

Presentation

- Cartridge
- Vial
- Pre-filled insulin pen

Devices

- JuniorSTAR^TM (0.5 un)
- ClikSTAR^®
- Apidra^® SoloSTAR^® (pre-filled)
- AllStar^TM Pro
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Lispro
Humalog^® U100
Onset of action: 10 to 15 min
Peak of action: 1 to 2 h
Duration of action: 3 to 4.75 h
Stability at room temperature: 28 days
Private Insurance / Conditional coverage
See Infolettre RAMQ

Presentation

- Cartridge
- Vial (3 ml and 10 ml)
- Pre-filled insulin pen

Devices

- HumaPen LUXURA^® HD (0.5 un)
- HumaPen SAVVIO^TM
- Humalog^® KwikPen^® (pre-filled)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Lispro
Admelog^® (Biosimilar)
Onset of action: 10 to 15 min
Peak of action: 1 to 2 h
Duration of action: 3 to 4.75 h
Stability at room temperature: 28 days
Covered
- Information Brochure
- Your guide to getting started

Presentation

- Cartridge
- Vial
- Pre-filled insulin pen

Devices

- JuniorSTAR^TM (0.5 un)
- ClikSTAR^®
- Admelog^® SoloSTAR^® (pre-filled)
- AllStar^TM Pro
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Lispro
Humalog^® U200
Onset of action: 10 to 15 min
Peak of action: 1 to 2 h
Duration of action: 3 to 4.75 h
Stability at room temperature: 28 days
Covered

Presentation

- Pre-filled insulin pen

Device

- Humalog^® KwikPen^® 200 u/ml (pre-filled)
Caution: Do not transfer to a syringe. Severe overdose can result.
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Short-Acting Insulins (clear):

Humulin R U500
Entuzity^TM
Onset of action: 15 min
Peak of action: 4 to 8 h
Duration of action: 17 to 24 h
Stability at room temperature: 28 days
Covered

Presentation

- Pre-filled insulin pen

Device

- KwikPen^TM (Pre-filled) 3 ml = 1500 units of insulin with an increment of 5 and a maximum of 160 units per injection
Caution: Do not transfer to a syringe. Severe overdose can result.
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Insulin Regular
Humulin^®R
Onset of action: 30 min
Peak of action: 2 to 3 h
Duration of action: 6.5 h
Stability at room temperature: 28 days
Covered

Presentation

- Cartridge
- Vial
- Pre-filled insulin pen

Devices

- HumaPen LUXURA^® HD (0.5 un)
- HumaPen SAVVIO^TM
- Humulin^® R KwikPen^® (pre-filled)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Insulin Regular
Novolin^®ge Toronto
Onset of action: 30 min
Peak of action: 2 to 3 h
Duration of action: 6.5 h
Stability at room temperature: 28 days
Covered

Presentation

- Cartridge
- Vial

Devices

- NovoPen^® 4 and 5 (memory)
- NovoPen Echo^® (0.5 un - memory)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

BASAL INSULINS

Intermediate-Acting Insulins (cloudy):

NPH
Humulin^®N
Onset of action: 1 to 3 h
Peak of action: 5 to 8 h
Duration of action: Up to 18 h
Stability at room temperature: 28 days
Covered

Presentation

- Cartridge
- Vial
- Pre-filled insulin pen

Devices

- HumaPen LUXURA^® HD (0.5 un)
- HumaPen SAVVIO^TM
- Humulin^® N KwikPen^® (pre-filled)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

NPH
Novolin^®ge NPH
Onset of action: 1 to 3 h
Peak of action: 5 to 8 h
Duration of action: Up to 18 h
Stability at room temperature: 28 days
Covered

Presentation

- Cartridge
- Vial

Devices

- NovoPen^® 4 and 5 (memory)
- NovoPen Echo^® (0.5 un - memory)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Long-Acting Basal Insulin Analogues (clear):

Degludec U100 and U200
Tresiba^®
Onset of action: 90 min
Peak of action: No significant peak
Duration of action: Up to 42 h
Stability at room temperature: 56 days
Covered
Video demo. of the injection technic with the Flextouch Pen
Initiation,Titration and Technic Patient Handout
Complete Guide for Virtual Care

Presentation

- Cartridge
- Pre-filled insulin pen

Devices

- Tresiba Flextouch^TM (pre-filled) 3 ml 100 U/ml and 200 U/ml with an increment of 2 and a maximum of 160 units per injection
Caution: Do not transfer to a syringe. Severe overdose can result.
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Detemir
Levemir^®
Onset of action: 90 min
Peak of action: No significant peak
Duration of action: 16 to 24 h
Stability at room temperature: 42 days
Covered
Video demo. of the injection technic with the Flextouch Pen
"Switch" and adjustment

Presentation

- Cartridge
- Pre-filled insulin pen

Devices

- NovoPen^® 4 and 5 (memory)
- NovoPen Echo^® (0.5 un - memory)
- Levemir^® FlexTouch^® (pre-filled)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Glargine U100
Lantus^®
Onset of action: 90 min
Peak of action: No significant peak
Duration of action: Up to 24 h
Stability at room temperature: 28 days
Not Covered / Private coverage
See Infolettre RAMQ
"Switch" and adjustment
SUPPLY CONSTRAINTS FOR LANTUS ®SOLOSTAR ®(Insulin glargine) AND LANTUS ® CARTRIDGES (Insulin glargine)

Presentation

- Cartridge
- Vial
- Pre-filled insulin pen

Devices

- JuniorSTAR^TM (0.5 un)
- ClikSTAR^®
- Lantus^® SoloSTAR^® (pre-filled)
- AllStar^TM Pro
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Glargine U100
Basaglar^® (Biosimilar)
Onset of action: 90 min
Peak of action: No significant peak
Duration of action: Up to 24 h
Stability at room temperature: 28 days
Covered
How to use the KwikPen^®
Patient Teaching Guide
"Switch" and adjustment

Presentation

- Cartridge

Devices

- Basaglar^® KwikPen^® (pre-filled)
- HumaPen SAVVIO^TM
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Glargine U100
Semglee^® (Biosimilar)
Onset of action: 90 min
Peak of action: No significant peak
Duration of action: Up to 24 h
Stability at room temperature: 28 days
Covered
Copayment card
Guide

Presentation

- Pre-filled insulin pen

Devices

Glargine U300
Toujeo^®
Onset of action: 90 min
Peak of action: No significant peak
Duration of action: > 30 h
Stability at room temperature: 42 days
Covered
SoloSTAR^® - Instructional Video^®
DoubleSTAR^® - Instructional Video^®
"Switch" and adjustment

Device

- Toujeo^® 300 u/ml SoloSTAR^® (pre-filled) 1.5 ml = 450 units
- Toujeo^® 300 u/ml DoubleSTAR^® (pre-filled) 3 ml = 900 units with an increment of 2 and a maximum of 160 units per injection
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)
Caution: Do not transfer to a syringe. Severe overdose can result.

FIXED-RATIO COMBINATIONS

Basal Insulin and GLP-1R Agonists :

Glargine U100 (100 units/ml) / Lixisenatide (33 mcg/ml)
Soliqua^TM
Maximum recommended daily dose is 60 units:
Glargine U100 60 units / Lixisenatide 20 mcg
Non Covered / Private coverage
How to Inject (video)
How to Inject
Therapy Initiation and Titration

Device

- Stylo SoloSTAR^® (pre-filled) 3 ml
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Degludec (100 units/ml) / Liraglutide (3.6 mg/ml)
Xultophy^®
Maximum recommended daily dose is 50 units:
Degludec 50 units / Liraglutide 1.8 mg
Not Covered / Private coverage
Therapy Initiation and Titration

Device

- Stylo Flextouch^® (pre-filled) 3 ml
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

PREMIXED INSULINS
Medications - Injectable medications s/c

A single vial or cartridge contains a fixed ratio of insulin (% of rapid-acting or short-acting insulin to % of intermediate-acting insulin).

Premixed Regular Insulins - NPH (cloudy):

Humulin^® 30/70
Humulin^® 30/70
Covered

Presentation

- Cartridge
- Vial

Devices

- HumaPen LUXURA^® HD (0.5 un)
- HumaPen SAVVIO^TM
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Novolin^®ge
30/70
Novolin^® ge
30/70
Covered

Presentation

- Cartridge
- Vial

Devices

- NovoPen^® 4 and 5 (memory)
- NovoPen Echo^® (0.5 un - memory)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Premixed Insulin Analogues (cloudy):

Biphasic Insulin Aspart
NovoMix^® 30
Code EN22

Presentation

- Cartridge

Devices

- NovoPen^® 4 and 5 (memory)
- NovoPen Echo^® (0.5 un - memory)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)

Lispro Insulin
Lispro Protamine
Humalog^® Mix25^® and Mix50^®
Mix25^®
Code EN22
Mix50^TM
Not Covered / Private coverage

Presentation

- Cartridge
- Pre-filled insulin pen

Devices

- HumaPen LUXURA^® HD (0.5 un)
- HumaPen KwikPen^® Junior^® (0.5 un)
- HumaPen SAVVIO^TM
- Humalog^® Mix25^® KwikPen^® (pre-filled)
- Humalog^® Mix50^® KwikPen^® (pre-filled)
- 4, 5 and 6 mm pen needles are suitable for all people living with diabetes regardless of BMI. (Ref. Fit Canada)