Ultilet Insulin

0.3 Ml — Prefilled Syringe

Also known as: Ultilet Insulin Syringe 0.3 Ml Ultilet Insulin Syringe 0.5 Ml Ultilet Insulin Syringe 1 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: 3 hours, 30 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 2 - Preferred Brand	—	—	—	None