Hypodermic Needle

14GX1", 14GX1.5", 14GX2", 15GX1.5", 16 G X 1", 16GX0.625", 16GX1.5", 16GX3/4", 18GX1 1/2", 18GX1", 19GX1 1/2", 19GX1", 20GX1 1/2", 20GX1", 21 G X 1", 21GX1 1/2", 21GX2", 22 G X 1", 22GX1 1/2", 23GX... — NEEDLE, DISPOSABLE

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Sep 23, 2026  ·  Checked: 8 hours, 1 minute ago
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
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