bupropion hcl (smoking deterrent) tb12

Generic: bupropion hcl (smoking deterrent)

150mg

titration pack

Also known as: bupropion hcl (smoking deterrent) tb12 150mg

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: 10 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via bupropion hcl (smoking deterrent)
Tier 1 - Generic None
BCBS Federal Basic Option 2026
via bupropion hcl (smoking deterrent)
Tier 1 - Generic None
BCBS Federal Focus 2026
via bupropion hcl (smoking deterrent)
Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 10 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 2026
via bupropion hcl (smoking deterrent)
Tier A - ACA $0 Copay None
BCBSNC Blue Value 2026
via bupropion hcl (smoking deterrent)
Tier A - ACA $0 Copay None
BCBSNC Blue Advantage 2026
via bupropion hcl (smoking deterrent)
Tier A - ACA $0 Copay None
BCBSNC Blue Home with UNC Health Alliance 2026
via bupropion hcl (smoking deterrent)
Tier A - ACA $0 Copay None
BCBSNC Blue Local 2026
via bupropion hcl (smoking deterrent)
Tier A - ACA $0 Copay None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 10 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - HDHP 2026 Tier 0 - $0 Copay (ACA Preventive) None
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