Clinimix E

5% — Injection

62%

Also known as: CLINIMIX E INJ 2.75/D5W CLINIMIX E INJ 4.25/D5W CLINIMIX E INJ 4.25/D10 CLINIMIX E INJ 5%/D15W CLINIMIX E INJ 5%/D20W

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: 17 hours, 32 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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