Actiq

Generic: fentanyl citrate

400MCG, 600MCG, 1200MCG — Lozenge

Opioid Analgesics — Long Acting Opioids

Also known as: ACTIQ LPOP 400MCG, 600MCG, 1200MCG

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via fentanyl citrate
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via fentanyl citrate
Not Covered None
NC State Health Plan - HDHP 2026
via fentanyl citrate
Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 3 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via fentanyl citrate
Tier 3 - Non-Formulary QL
Something not right?