Amniocore
Miscellaneous
Also known as:
AMNIOCORE MIS 2CMX3CM
AMNIOCORE MIS 2X12CM
AMNIOCORE MIS 3CMX3CM
AMNIOCORE MIS 3CMX4CM
AMNIOCORE MIS 4CMX4CM
AMNIOCORE MIS 4CMX6CM
AMNIOCORE MIS 4CMX8CM
AMNIOCORE MIS 6CMX9CM
AMNIOCORE MIS 6X16CM
AMNIOCORE MIS 9X20CM
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Medical Benefit | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Medical Benefit | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Medical Benefit | — | — | — | None |