Butalbital-Acetaminophen-Caffeine-Codeine

50-300-30 Mg — Capsule

Central Nervous System Stimulant

Also known as: Butalbital-Acetaminophen-Caffeine-Codeine 50-300-30 Mg Capsule Butalbital-Acetaminophen-Caffeine-Codeine 50-325-30 Mg Capsule
GoodRx Compare Prices

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: Jan 1, 2026  ·  Checked: 16 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 1 - Generic ✓ — — PA
Something not right?