Hep Sod/Nacl

1000UNIT — Injection

(base equiv)

Also known as: HEP SOD/NACL INJ 1000UNIT HEP SOD/NACL INJ 2000UNIT HEP SOD/NACL INJ 12500UNT HEP SOD/NACL INJ 25000UNT

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: 19 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
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