Omnipod 5 DexG7/G6 Intro Kit/Pods , FSL2 G6 Intro Kit/Pods

Generic: GEN5

2 G

Also known as: GEN5

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

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 56 minutes ago

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