Assure Lance

21G — Miscellaneous

.25%, .5%

Also known as: ASSURE LANCE MIS 21G ASSURE LANCE MIS 28G ASSURE LANCE MIS LOW FLOW ASSURE LANCE MIS MICRO ASSURE LANCE MIS SAFE 25G ASSURE LANCE MIS SAFE 30G

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: 22 hours, 14 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 3 - Non-Preferred Brand None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 3 - Non-Preferred Brand None
NC State Health Plan - HDHP 2026 Tier 3 - Non-Preferred Brand None
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