hydrocodone bitart-homatropine methylbrom

1.5 mg/5ml — Solution

ANTITUSSIVES

Also known as: hydrocodone bitart-homatropine methylbrom soln 5-1.5 mg/5ml

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: 20 hours, 51 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic QL
BCBS Federal Basic Option 2026 Tier 1 - Generic QL
BCBS Federal Focus 2026 Tier 1 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 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 PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic PA
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic PA
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