3Ml

3ML — Prefilled Syringe

.25%, .5%

Also known as: 3ML SYRINGE MIS 20GX1" 3ML SYRINGE MIS 22GX1.5" 3ML SYRINGE MIS 23GX1.5" 3ML SYRINGE MIS 25GX1.5"

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 7 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
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