cyproheptadine hcl

2 mg/5 mL, 4 mg — Syrup

ANTIHISTAMINES

Also known as: cyproheptadine hcl oral cyproheptadine hcl syrup 2 mg/5ml cyproheptadine hcl tab 4 mg Cyproheptadine HCl Oral Syrup Cyproheptadine HCl Oral Tablet

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  ·  Checked: 22 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 22 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Local 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Care 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Value 2026 Tier 1 - Lowest Cost Generic None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 22 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary None
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