Chorionic Gonadotropin 10,000 Unit

000 Unit — Vial

Also known as: Chorionic Gonadotropin 10,000 Unit Vial

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 20 hours, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 3 - Non-Preferred	✓	—	— Specialty Pharmacy Required	PA