Procare Spacer With Child Mask
Generic: ,assist
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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
4 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Cigna Plus NC 4-Tier Formulary 2026
via Breatherite Spacer-Adult Mask |
Tier 2 - Preferred Brand | — | — | ✓ | QL |
|
Cigna Plus NC 4-Tier Formulary 2026
via Breatherite Spacer-Infant Mask |
Tier 2 - Preferred Brand | — | — | ✓ | QL |
|
Cigna Plus NC 4-Tier Formulary 2026
via Procare Spacer With Adult Mask |
Tier 2 - Preferred Brand | — | — | ✓ | QL |
| Cigna Plus NC 4-Tier Formulary 2026 | Tier 2 - Preferred Brand | — | — | ✓ | QL |