Embrace

Generic: blood sugar diagnostic

29G — Pen Injector

1%; lotn .75%

Also known as: EMBRACE TES BLD GLUC Embrace Pen Needle 29G 12Mm Embrace Pen Needle 30G 5Mm Embrace Pen Needle 30G 8Mm Embrace Pen Needle 31G 5Mm Embrace Pen Needle 31G 6Mm Embrace Pen Needle 31G 8Mm Embrace Pen Needle 32G 4Mm EMBRACE PEN NEEDLE
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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.
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 18 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Silver RD 3500 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Silver 4400 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver 3500 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver 4400 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard
via INFINITY TEST STRIPS 		Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver 3500 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver 4400 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 3500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 4400 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard
via True Metrix Glucose Test Strip 		Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Silver 3500 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via Easymax 		Tier 3 - Preferred Brand — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 18 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026
via Fora V12 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Caresens N 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Caresens N 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Caresens N 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Diatrue Plus 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Diatrue Plus 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Diatrue Plus 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Easy Plus Ii 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Easy Plus Ii 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Easy Plus Ii 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Easy Step 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Easy Step 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Easy Step 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Easy Talk 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Easy Talk 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Easy Talk 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Easy Trak 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Easy Trak 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Easy Trak 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Easymax 15 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Easymax 15 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Easymax 15 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Easymax 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Easymax 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Easymax 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered — — — None
NC State Health Plan - HDHP 2026 Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Fora D15G 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Fora D15G 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Fora D15G 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Fora D20 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Fora D20 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Fora D20 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Fora G20 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Fora G20 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Fora G20 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Fora V10 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Fora V10 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Fora V10 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Fora V12 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Fora V12 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Fora V20 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Fora V20 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Fora V20 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Fora V30A 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Fora V30A 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Fora V30A 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Microdot 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Microdot 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Microdot 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Quintet Ac 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Quintet Ac 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Quintet Ac 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Unistrip1 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Unistrip1 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Unistrip1 		Not Covered — — — None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 18 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via blood sugar diagnostic 		Tier 1 - Basic Core Formulary ✓ — ✓ PA | QL
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