butorphanol tartrate

2 MG — Nasal Spray

OPIOID PARTIAL AGONISTS

Also known as: butorphanol tartrate soln 1mg/ml, 2mg/ml butorphanol tartrate soln 10mg/ml
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 2 hours, 8 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold Tier 2 - Generic ✓ — ✓ PA | QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 2 - Generic ✓ — ✓ PA | QL
Everyday Bronze Tier 2 - Generic ✓ — ✓ PA | QL
Elite Bronze Tier 2 - Generic ✓ — ✓ PA | QL
Clear Silver with $0 Insulin Options Tier 2 - Generic ✓ — ✓ PA | QL
Standard Expanded Bronze Tier 2 - Generic ✓ — ✓ PA | QL
Standard Silver Tier 2 - Generic ✓ — ✓ PA | QL
Standard Gold Tier 2 - Generic ✓ — ✓ PA | QL
Everyday Bronze with Atrium Health Tier 2 - Generic ✓ — ✓ PA | QL
Elite Bronze with Atrium Health Tier 2 - Generic ✓ — ✓ PA | QL
Focused Silver with Atrium Health Tier 2 - Generic ✓ — ✓ PA | QL
Complete Gold with Atrium Health Tier 2 - Generic ✓ — ✓ PA | QL
Standard Expanded Bronze with Atrium Health Tier 2 - Generic ✓ — ✓ PA | QL
Standard Silver with Atrium Health Tier 2 - Generic ✓ — ✓ PA | QL
Standard Gold with Atrium Health Tier 2 - Generic ✓ — ✓ PA | QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Complete Gold + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Everyday Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Elite Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Standard Silver + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Standard Gold + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Standard Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Standard Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Focused Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Complete Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Standard Expanded Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — ✓ PA | QL
Source: CMS QHP JSON  ·  Checked: 2 hours, 8 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic — — ✓ QL
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic — — ✓ QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 2 hours, 8 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: Jul 1, 2026  ·  Checked: 2 hours, 8 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic ✓ — ✓ PA | QL
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic ✓ — ✓ PA | QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic ✓ — ✓ PA | QL
Source: CMS QHP JSON  ·  Checked: 2 hours, 8 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AIAN Cost Share | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Classic 4700 | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Classic | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Diabetes | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple PCP Saver | with Atrium Health Tier 2 - Generic — — ✓ QL
Gold Elite Saver Plus | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Simple Diabetes | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 2 - Generic — — ✓ QL
AIAN Cost Share Tier 2 - Generic — — ✓ QL
Bronze Classic Standard Tier 2 - Generic — — ✓ QL
Silver Classic Standard Tier 2 - Generic — — ✓ QL
Gold Classic Standard Tier 2 - Generic — — ✓ QL
Bronze Classic Standard | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Classic Standard | with Atrium Health Tier 2 - Generic — — ✓ QL
Gold Classic Standard | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Elite + PCP Saver Plus Tier 2 - Generic — — ✓ QL
Silver Classic Tier 2 - Generic — — ✓ QL
Secure Tier 2 - Generic — — ✓ QL
Bronze Classic 4700 Tier 2 - Generic — — ✓ QL
Silver Simple PCP Saver Tier 2 - Generic — — ✓ QL
Gold Elite Saver Plus Tier 2 - Generic — — ✓ QL
Silver Simple Diabetes Tier 2 - Generic — — ✓ QL
Secure | with Atrium Health Tier 2 - Generic — — ✓ QL
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 2 hours, 8 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Standard (No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Gold Standard (No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Value ($0 Virtual Urgent Care, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Standard (No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Standard+ Dental + Vision (No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals Tier 3 - Preferred Brand — — ✓ QL
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