Freestyle Lb

Kit

.25%, .5%

Also known as: FREESTYLE LB KIT 2/SENSOR FREESTYLE LB KIT 2PLS/SEN FREESTYLE LB KIT 3/SENSOR FREESTYLE LB KIT 14D/SEN FREESTYLE LB MIS 2/READER FREESTYLE LB MIS 3/READER FREESTYLE LB MIS 14D/RDR FREESTYLE LB KIT 3PLS/SEN

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: Apr 1, 2026  ·  Checked: 17 hours, 22 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 2 - Preferred Brand PA
BCBS Federal Basic Option 2026 Tier 2 - Preferred Brand PA
BCBS Federal Focus 2026 Tier 2 - Preferred Brand PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 22 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
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
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