Medications

Semglee

Semglee

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Comprehensive medication guide to {drug} including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.

Estimated Insurance Pricing
Most insured patients pay $0–$35 per prescription with the Semglee savings card, or a standard formulary copay of $25–$75.
Estimated Cash Pricing
Semglee typically costs $125–$350 per pen pack or vial without insurance, though discount cards can bring it down to $80–$150.
Medfinder Findability Score
65
/100
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Post Author

Peter Daggett

Last Updated

February 18, 2026

Semglee 2026 Availability, Prices, and Tips to Find

What Is Semglee?

Semglee (Insulin Glargine-yfgn) is a long-acting basal insulin analog manufactured by Mylan (Viatris). It is an interchangeable biosimilar to Lantus, meaning it can be substituted at the pharmacy without requiring a new prescription from your doctor. Semglee is FDA-approved to improve blood sugar control in adults and children (ages 6 and older) with Type 1 diabetes and adults with Type 2 diabetes. It provides steady insulin coverage for approximately 24 hours with once-daily dosing.

How does Semglee work?

Semglee contains Insulin Glargine-yfgn, which forms tiny microprecipitates when injected under the skin. These microprecipitates dissolve slowly, providing a steady, prolonged release of insulin over approximately 24 hours. The insulin works by helping cells in your muscles and fat tissue absorb glucose from the bloodstream, while also reducing the amount of glucose your liver produces. This basal (background) insulin coverage helps maintain stable blood sugar levels between meals and overnight.

What doses are available for Semglee?

  • Semglee Pre-Filled Pen: 100 units/mL in a 3 mL pen (box of 5 pens)
  • Semglee Vial: 100 units/mL in a 10 mL vial

Dosing is individualized. For Type 2 diabetes, a typical starting dose is 10 units once daily or 0.2 units/kg/day. For Type 1 diabetes, basal insulin typically makes up about one-third of the total daily insulin requirement.

How hard is it to find Semglee in stock?

Semglee has experienced intermittent supply disruptions since 2023, with some pharmacies reporting limited availability of certain pen presentations. As a biosimilar insulin glargine product, availability can vary regionally. We rate Semglee's findability at 65 out of 100, meaning you may encounter occasional stock issues depending on your area and preferred formulation. Calling ahead to your pharmacy or checking multiple locations is recommended.

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Who Can Prescribe Semglee?

Semglee can be prescribed by a range of healthcare providers, including:

  • Endocrinologists — specialists in diabetes and hormone disorders
  • Internal Medicine physicians
  • Family Medicine doctors
  • Primary Care providers
  • Pediatric Endocrinologists — for children with Type 1 diabetes

Telehealth consultations are also available for insulin management in many states.

Is Semglee a controlled substance?

No, Semglee is not a controlled substance. It is not scheduled by the DEA. However, insulin is a prescription medication and must be prescribed by a licensed healthcare provider. In some states, insulin may be available without a prescription in emergency situations, but this varies by state law.

Common Side Effects of Semglee

  • Hypoglycemia (low blood sugar) — the most common side effect
  • Injection site reactions — pain, redness, or swelling at the injection site
  • Weight gain
  • Lipodystrophy — changes in fat tissue at injection sites
  • Peripheral edema — swelling in hands or feet
  • Allergic reactions — rash, itching, or in rare cases, anaphylaxis

Serious side effects include severe hypoglycemia (confusion, seizures, loss of consciousness), hypokalemia (low potassium), and increased risk of heart failure when used with thiazolidinediones.

Alternative Medications to Semglee

  • Lantus — Brand-name Insulin Glargine (100 units/mL) by Sanofi, the reference product for Semglee
  • Basaglar — Follow-on Insulin Glargine (100 units/mL) by Eli Lilly, another biosimilar to Lantus
  • Levemir — Insulin Detemir, a different long-acting basal insulin by Novo Nordisk
  • Toujeo — Insulin Glargine 300 units/mL (concentrated) by Sanofi, offering longer duration and potentially less hypoglycemia risk

Drug Interactions with Semglee

  • Other diabetes medications (sulfonylureas, Metformin, GLP-1 agonists) — increased risk of hypoglycemia
  • Beta-blockers — may mask symptoms of low blood sugar
  • ACE inhibitors and ARBs — may increase insulin sensitivity
  • Thiazolidinediones (Pioglitazone, Rosiglitazone) — increased risk of heart failure and edema
  • Corticosteroids — may decrease insulin effectiveness, raising blood sugar
  • Sympathomimetics (epinephrine, Albuterol) — may raise blood glucose
  • Alcohol — can increase the risk of hypoglycemia

Always inform your prescriber of all medications, supplements, and alcohol use.

Final Thoughts on Semglee

Semglee is an important and more affordable option for patients who need long-acting basal insulin. As the first interchangeable biosimilar to Lantus, it offers the same clinical effectiveness at a lower price point — with cash prices as low as $80–$150 using discount cards, and copays as low as $0–$35 with the manufacturer savings card. While intermittent supply issues mean it scores a 65 on our findability scale, most patients can locate it by checking multiple pharmacies or asking their pharmacist to order it. If you're struggling to find Semglee, consider alternatives like Basaglar or Lantus, and ask your doctor about the Viatris Patient Assistance Program if cost is a barrier.

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