3ML LUER LOCK SAFETY SYRI

3ML, 3 ml, 3 ml, 3 ml, 3 ml, 3 ml, 3 ml — Prefilled Syringe

MEDICAL DEVICES

Also known as: 3ML LUER LOCK SAFETY SYRI- syringe/needle (disp) 3 ml 21 x 1-1/2", 3 ml 22 x 1", 3 ml 22 x 1-1/2", 3 ml 23 x 1", 3 ml 25 x 5/8", 3 ml 25 x 1"

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: 5 hours ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Local 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Care 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Value 2026 Tier 3 - High Cost Brand None
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