Esmolol Hydrochloride In

2000MG/100ML, 2500MG/250ML — Solution

4gm/dose

Also known as: ESMOLOL HYDROCHLORIDE IN SOLN 2000MG/100ML, 2500MG/250ML ESMOLOL HYDROCHLORIDE IN 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: 1 hour, 43 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
Something not right?