cytarabine

20mg — Solution

Also known as: cytarabine soln 20mg/ml, 100mg/ml

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 2 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026	Tier 4 - Preferred Specialty	—	—	—	None
BCBS Federal Basic Option 2026	Tier 4 - Preferred Specialty	—	—	—	None

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 2 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026	Tier 1 - Preferred Generic	—	—	—	None