Ultilet
32G — Pen Injector
Also known as:
ULTILET MIS 26G
ULTILET MIS 28G
ULTILET MIS 30G
ULTILET MIS 33G
ULTILET MIS LANCETS
ULTILET MIS SAFETY
Ultilet Pen Needle
Ultilet Pen Needle 32G 4Mm
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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 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |