Demerol

Generic: meperidine

25MG — Solution

Opioid Agonist

Also known as: DEMEROL SOLN 25MG/ML, 50MG/ML, 75MG/ML, 100MG/ML DEMEROL SOLN 25MG/ML, 50MG/ML, 75MG/ML DEMEROL SOLN 25MG/ML, 50MG/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: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 16 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver RD 2200 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Gold 1500 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect myDiabetesCare Bronze
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Bronze 5500 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Bronze RD 6000 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver 3500 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Bronze RD 5000 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver RD 3500 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Bronze 7000 HSA Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver 4400 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver RD 5000 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver 3000 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Bronze 6500 Indiv Med Deductible
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Bronze RD CMS Standard
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Gold RD CMS Standard
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect myDiabetesCare Silver
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver CMS Standard
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Silver RD CMS Standard
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Connect Gold CMS Standard
via Meperidine 		Tier 3 - Preferred Brand ✓ — — PA
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 16 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - HDHP 2026 Tier 3 - Non-Preferred Brand — — — None
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