Ins

1ML — Syrup

.25%, .5%

Also known as: INS SYR 1ML MIS 30GX1/2" INS SYR 1ML MIS 31GX5/16 INS SYR U500 MIS 0.5/31G INS SYR U500 MIS 31GX6MM

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: 9 hours, 14 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 7 - Preferred Diabetic Supplies None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 7 - Preferred Diabetic Supplies None
NC State Health Plan - HDHP 2026 Tier 7 - Preferred Diabetic Supplies None
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