Tobramycin Pak

5 Ml

Also known as: Tobramycin Pak 300 Mg/5 Ml

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: 2 hours, 59 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 4 - Specialty	✓	—	✓ Specialty Pharmacy Required	PA \| QL