butalbital-acetaminophen

Generic: butalbital/acetaminophen

50-325 mg — Tablet

ANALGESICS - NON-NARCOTIC

Also known as: butalbital-acetaminophen cap 50-300 mg butalbital-acetaminophen tab 25-325 mg butalbital-acetaminophen tab 50-325 mg Butalbital-Acetaminophen 50-325 Mg Tablet butalbital-acetaminophen tab 50-300 mg

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: 6 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 1 - Generic QL
BCBS Federal Standard Option 2026 Tier 1 - Generic QL
BCBS Federal Basic Option 2026 Tier 1 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 6 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Advantage 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 6 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 6 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic QL
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic QL
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 6 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via butalbital/acetaminophen
Tier 3 - Non-Formulary PA
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