bleomycin sulfate solr

15unit, 30unit

ANTINEOPLASTIC ANTIBIOTICS

Also known as: bleomycin sulfate solr 15unit, 30unit bleomycin sulfate solr 15unit

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: 16 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 2 - Preferred Brand None
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty None
BCBS Federal Basic Option 2026 Tier 4 - Preferred Specialty None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 16 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
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