Exel Hypodermic Needle
18GX1 1/2", 18GX1", 19GX1 1/2", 19GX1", 20GX1 1/2", 20GX1", 20GX3/4", 21 G X 1", 21GX1 1/2", 22 G X 1", 22GX1 1/2", 22GX3/4", 23GX1", 23GX3/4", 25GX1 1/2", 25GX1", 25GX3/4", 25GX5/8", 26 G X5/8", 2... — NEEDLE, DISPOSABLE
Coverage by Insurer
TRICARE
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 2 - Brand Formulary | — | — | ✓ SELECT SYRINGES,NEEDLES,SUPPLIES TO BE DISPENSED AT MAX QTY OF 200 UNITS IN 22D OR 600 UNITS IN 68D | QL Quantity limit |