X 4 Mm

33G, 33G — Pen Injector

Also known as: X 4 Mm , 33G X 5 Mm , 33G X 6 Mm Aum Readygard Duo Pen

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: 22 hours, 23 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026	Tier 1 - $0 Copay Preventive	—	—	—	None