Fragmin 95,000 Unit/3.8 Ml

3.8 Ml — Vial

Also known as: Fragmin 95,000 Unit/3.8 Ml Vial

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

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 3 hours, 15 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 4 - Specialty	—	—	✓ Specialty Pharmacy Required	QL