Fora V10

Generic: blood sugar diagnostic

Test Strip

Also known as: FORA V10 TES BLD GLUC

Coverage by Insurer

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

Cigna

2 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 17 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via Embrace	Tier 2 - Preferred Brand	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via True Metrix Glucose Test Strip	Tier 2 - Preferred Brand	—	—	—	None

NC State Health Plan

57 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 17 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Unistrip1	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 - 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 via Embrace	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Embrace	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Embrace	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	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 V12	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard 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

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 17 hours, 24 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

UnitedHealthcare

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 17 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026 via Contour Plus Test Strip	Tier 1 - $0 Copay Preventive	—	—	✓	QL