Ilet Infusion

Kit

Also known as: Ilet Infusion Kit-Inset 23" 6Mm Ilet Infusion Kit-Inset 32" 6Mm

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: 7 hours, 41 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 2 - Preferred Brand	—	—	—	None

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 7 hours, 41 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	—	—	None