dexmedetomidine hcl in nacl 0.9% iv

0.9% — Solution

1000UNIT, 10000UNIT

Also known as: dexmedetomidine hcl in nacl 0.9% iv soln 80 mcg/20ml dexmedetomidine hcl in nacl 0.9% iv soln 200 mcg/50ml dexmedetomidine hcl in nacl 0.9% iv soln 400 mcg/100ml dexmedetomidine hcl in nacl 0.9% iv soln 80 dexmedetomidine hcl in nacl 0.9% iv soln 200 dexmedetomidine hcl in nacl 0.9% iv soln 400

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: 1 hour, 51 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
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