amoxicillin & k clavulanate

250-125 mg, 875-125 mg — Tablet

PENICILLINS

Also known as: amoxicillin & k clavulanate tab 250-125 mg amoxicillin & k clavulanate tab 875-125 mg amoxicillin & k clavulanate tab er 12hr 1000- 62.5 mg amoxicillin & k clavulanate tab 250-125 mg, 875-125 mg amoxicillin & k clavulanate tab 500-125 mg amoxicillin & k clavulanate tab er 12hr 1000-62.5 mg amoxicillin & k clavulanate tab er 12hr 1000-

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: 22 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic None
BCBS Federal Basic Option 2026 Tier 1 - Generic None
BCBS Federal Focus 2026 Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Value 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Advantage 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Local 2026 Tier 1 - Lowest Cost Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 2 - Non-Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 2 - Non-Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 2 - Non-Preferred Generic None
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