DROPSAFE INS

Syrup

Also known as: DROPSAFE INS SYR

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: Jan 1, 2026  ·  Checked: 6 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze 6500 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Bronze 5500 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Silver 4400 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Silver 3500 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Silver 3000 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Bronze CMS Standard Tier 3 - Preferred Brand None
Connect Silver CMS Standard Tier 3 - Preferred Brand None
Connect Gold CMS Standard Tier 3 - Preferred Brand None
Connect myDiabetesCare Bronze Tier 3 - Preferred Brand None
Connect myDiabetesCare Silver Tier 3 - Preferred Brand None
Connect Gold 1500 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Bronze RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Bronze RD 6000 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Bronze RD CMS Standard Tier 3 - Preferred Brand None
Connect Silver RD 3500 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Silver RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Silver RD CMS Standard Tier 3 - Preferred Brand None
Connect Silver RD 2200 Indiv Med Deductible Tier 3 - Preferred Brand None
Connect Gold RD CMS Standard Tier 3 - Preferred Brand None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 3 - Preferred Brand None
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