Easy Touch Safety

Generic: /needle (disp)

29G — Prefilled Syringe

Also known as: Easy Touch Safety Syringe Easy Touch Safety Pen Needle 29G 5Mm Easy Touch Safety Pen Needle 29G 8Mm Easy Touch Safety Pen Needle 30G 5Mm Easy Touch Safety Pen Needle 30G 8Mm

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Coverage by Insurer

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

Blue Cross Blue Shield of NC

240 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 9 hours, 38 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026 via Bd Eclipse	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Eclipse	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Eclipse	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Eclipse	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Eclipse	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Bd Integra	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Integra	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Integra	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Integra	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Integra	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Bd Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Bd Luer-Lok	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Luer-Lok	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Luer-Lok	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Luer-Lok	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Luer-Lok	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Bd Plastipak	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Plastipak	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Plastipak	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Plastipak	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Plastipak	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Bd Eclipse Needle/Luer-Lo	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Eclipse Needle/Luer-Lo	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Eclipse Needle/Luer-Lo	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Eclipse Needle/Luer-Lo	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Eclipse Needle/Luer-Lo	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Bd Safetyglide	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Safetyglide	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Safetyglide	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Safetyglide	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Safetyglide	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Bd Slip Tip	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Bd Slip Tip	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Bd Slip Tip	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Bd Slip Tip	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Bd Slip Tip	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Carepoint Safety 1St Syri	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Carepoint Safety 1St Syri	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Carepoint Safety 1St Syri	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Carepoint Safety 1St Syri	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Carepoint Safety 1St Syri	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Carepoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Carepoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Carepoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Carepoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Carepoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Caretouch Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Caretouch Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Caretouch Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Caretouch Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Caretouch Luer Lock	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Crono	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Crono	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Crono	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Crono	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Crono	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Touch Fliplock Safe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Touch Fliplock Safe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Touch Fliplock Safe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Touch Fliplock Safe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Touch Fliplock Safe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Touch Fliplock Safet	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Touch Fliplock Safet	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Touch Fliplock Safet	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Touch Fliplock Safet	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Touch Fliplock Safet	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Touch Fluringe Flipl	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Touch Fluringe Flipl	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Touch Fluringe Flipl	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Touch Fluringe Flipl	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Touch Fluringe Flipl	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Touch Fluringe Flu T	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Touch Fluringe Flu T	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Touch Fluringe Flu T	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Touch Fluringe Flu T	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Touch Fluringe Flu T	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Touch Fluringe Sheat	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Touch Fluringe Sheat	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Touch Fluringe Sheat	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Touch Fluringe Sheat	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Touch Fluringe Sheat	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Touch Fluringe Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Touch Fluringe Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Touch Fluringe Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Touch Fluringe Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Touch Fluringe Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Touch Sheathlock Saf	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Touch Sheathlock Saf	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Touch Sheathlock Saf	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Touch Sheathlock Saf	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Touch Sheathlock Saf	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easypoint Needle/Syringe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easypoint Needle/Syringe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easypoint Needle/Syringe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easypoint Needle/Syringe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easypoint Needle/Syringe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Monoject	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Monoject	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Monoject	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Monoject	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Monoject	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Monoject Lifeshield Blunt	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Monoject Lifeshield Blunt	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Monoject Lifeshield Blunt	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Monoject Lifeshield Blunt	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Monoject Lifeshield Blunt	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Monoject Lifeshield Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Monoject Lifeshield Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Monoject Lifeshield Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Monoject Lifeshield Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Monoject Lifeshield Syrin	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Monoject Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Monoject Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Monoject Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Monoject Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Monoject Magellan	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Securesafe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Securesafe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Securesafe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Securesafe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Securesafe	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Hypodermic Safety	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Hypodermic Safety	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Hypodermic Safety	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Hypodermic Safety	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Hypodermic Safety	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Lock/10Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Lock/10Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Lock/10Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Lock/10Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Lock/10Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Lock/3Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Lock/3Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Lock/3Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Lock/3Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Lock/3Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Lock/3Ml/21G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Lock/3Ml/21G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Lock/3Ml/21G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Lock/3Ml/21G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Lock/3Ml/21G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Lock/3Ml/22G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Lock/3Ml/22G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Lock/3Ml/22G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Lock/3Ml/22G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Lock/3Ml/22G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Lock/3Ml/23G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Lock/3Ml/23G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Lock/3Ml/23G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Lock/3Ml/23G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Lock/3Ml/23G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Lock/3Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Lock/3Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Lock/3Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Lock/3Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Lock/3Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Lock/5Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Lock/5Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Lock/5Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Lock/5Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Lock/5Ml/20G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Slip/1Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Slip/1Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Slip/1Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Slip/1Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Slip/1Ml/25G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Slip/1Ml/26G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Slip/1Ml/26G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Slip/1Ml/26G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Slip/1Ml/26G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Slip/1Ml/26G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringe/Luer Slip/1Ml/27G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringe/Luer Slip/1Ml/27G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringe/Luer Slip/1Ml/27G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringe/Luer Slip/1Ml/27G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringe/Luer Slip/1Ml/27G	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringes/Luer Lock/1Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringes/Luer Lock/1Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringes/Luer Lock/1Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringes/Luer Lock/1Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringes/Luer Lock/1Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringes/Luer Lock/10Ml/2	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringes/Luer Lock/10Ml/2	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringes/Luer Lock/10Ml/2	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringes/Luer Lock/10Ml/2	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringes/Luer Lock/10Ml/2	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringes/Luer Lock/5Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringes/Luer Lock/5Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringes/Luer Lock/5Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringes/Luer Lock/5Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringes/Luer Lock/5Ml/20	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringes/Luer Lock/5Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringes/Luer Lock/5Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringes/Luer Lock/5Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringes/Luer Lock/5Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringes/Luer Lock/5Ml/21	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringes/Luer Lock/5Ml/22	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringes/Luer Lock/5Ml/22	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringes/Luer Lock/5Ml/22	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringes/Luer Lock/5Ml/22	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringes/Luer Lock/5Ml/22	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Syringes/Luer Slip/1Ml/25	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Syringes/Luer Slip/1Ml/25	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Syringes/Luer Slip/1Ml/25	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Syringes/Luer Slip/1Ml/25	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Syringes/Luer Slip/1Ml/25	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Vanishpoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Vanishpoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Vanishpoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Vanishpoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Vanishpoint	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Ulticare	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Ulticare	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Ulticare	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Ulticare	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Ulticare	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Verisafe Safety Sterile S	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Verisafe Safety Sterile S	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Verisafe Safety Sterile S	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Verisafe Safety Sterile S	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Verisafe Safety Sterile S	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Vanishpoint Safety Syring	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Vanishpoint Safety Syring	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Vanishpoint Safety Syring	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Vanishpoint Safety Syring	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Vanishpoint Safety Syring	Tier 3 - High Cost Brand	—	—	—	None

Cigna

9 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 9 hours, 38 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via Bd Eclipse	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Bd Integra	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Bd Luer-Lok	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Bd Safetyglide	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Monoject	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Securesafe	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Ulticare	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Vanishpoint	Tier 2 - Preferred Brand	—	—	—	None

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 9 hours, 38 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via Securesafe	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Securesafe	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Securesafe	Not Covered	—	—	—	None