Omnipod Go

Also known as: Omnipod Go 10 Unit/Day Pods Omnipod Go 15 Unit/Day Pods Omnipod Go 20 Unit/Day Pods Omnipod Go 25 Unit/Day Pods Omnipod Go 30 Unit/Day Pods Omnipod Go 35 Unit/Day Pods Omnipod Go 40 Unit/Day Pods

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Coverage by Insurer

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

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 2 hours, 45 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 2 - Preferred Brand	—	—	✓	QL