Dexamethasone Sodium Phos

Generic: dexamethasone sodium phosphate ophth

4MG — Solution

OPHTHALMIC AGENTS

Also known as: DEXAMETHASONE SODIUM PHOS SOLN 4MG/ML, 10MG/ML DEXAMETHASONE SODIUM PHOS SOLN

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: Apr 1, 2026  ·  Checked: 12 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Local 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Care 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Value 2026 Tier 4 - Higher Cost Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 12 hours, 32 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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