hydrocodone-ibuprofen
7.5 Mg, 200 Mg — Tablet
Also known as:
Ibudone, Reprexain, Vicoprofen
hydrocodone-ibuprofen tab 5-200 mg
hydrocodone-ibuprofen tab 10-200 mg
hydrocodone-ibuprofen tab 7.5-200 mg
Hydrocodone-Ibuprofen 5 Mg-200 Mg Tablet
Hydrocodone-Ibuprofen 7.5 Mg-200 Mg Tablet
Hydrocodone-Ibuprofen 10 Mg-200 Mg Tablet
HYDROcodone-Ibuprofen Oral Tablet
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | — | None |
Blue Cross Blue Shield Federal
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBS Federal Standard Option 2026 | Tier 1 - Generic | — | — | ✓ | QL |
| BCBS Federal Focus 2026 | Tier 1 - Generic | — | — | ✓ | QL |
| BCBS Federal Basic Option 2026 | Tier 1 - Generic | — | — | ✓ | QL |
Blue Cross Blue Shield of NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Advantage 2026 | Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
| BCBSNC Blue Local 2026 | Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
| BCBSNC Blue Care 2026 | Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
| BCBSNC Blue Value 2026 | Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Hydrocodone/Ibuprofen |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Local 2026
via Hydrocodone/Ibuprofen |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via Hydrocodone/Ibuprofen |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Value 2026
via Hydrocodone/Ibuprofen |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via Hydrocodone/Ibuprofen |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
Cigna
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Connect Gold CMS Standard | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Bronze CMS Standard | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver 3000 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver 3600 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver 5000 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Bronze 5500 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Bronze 6500 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Bronze 7000 HSA Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Gold RD CMS Standard | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver RD 2200 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver RD CMS Standard | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver RD 5000 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver RD 3500 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Bronze RD CMS Standard | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Bronze RD 6000 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Bronze RD 5000 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Gold 1500 Indiv Med Deductible | Tier 2 - Generic | ✓ | — | — | PA |
| Connect myDiabetesCare Silver | Tier 2 - Generic | ✓ | — | — | PA |
| Connect myDiabetesCare Bronze | Tier 2 - Generic | ✓ | — | — | PA |
| Connect Silver CMS Standard | Tier 2 - Generic | ✓ | — | — | PA |
Medicare Part D
42 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Troy Medicare (HMO) | Tier 2 - Generic | — | — | — | None |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Tier 2 - Generic | — | — | — | None |
| Alignment Health Platinum (HMO) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| Alignment Health NC Duals (HMO-POS D-SNP) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| Alignment Health smartHMO (HMO) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| Alignment Health Platinum Select (HMO) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| Alignment Health AVA (PPO) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Tier 2 - Generic | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Value Plus (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Dual (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| HealthSpring Preferred Plus (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 50 per 30 days | QL |
| HealthSpring Preferred Savings (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 50 per 30 days | QL |
| HealthSpring Preferred Select (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 50 per 30 days | QL |
| HealthSpring TotalCare Plus (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 50 per 30 days | QL |
| HealthSpring Preferred (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 50 per 30 days | QL |
| HealthSpring TotalCare (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 50 per 30 days | QL |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Enhanced (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature Care (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Prime (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| HealthSpring True Choice (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 50 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature Giveback (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature Extra (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Enhanced (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Enhanced (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 150 per 30 days | QL |
| Healthy Blue + Medicare (HMO-POS D-SNP) | Tier 4 - Non-Preferred | — | — | ✓ 150 per 30 days | QL |
| Blue Medicare Enhanced (HMO-POS) | Tier 4 - Non-Preferred | — | — | ✓ 150 per 30 days | QL |
| Blue Medicare Essential Plus (HMO-POS) | Tier 4 - Non-Preferred | — | — | ✓ 150 per 30 days | QL |
| Blue Medicare PPO Enhanced (PPO) | Tier 4 - Non-Preferred | — | — | ✓ 150 per 30 days | QL |
| Experience Health Medicare Advantage (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 150 per 30 days | QL |
| Blue Medicare Essential (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 150 per 30 days | QL |
| Blue Medicare Choice (HMO) | Tier 4 - Non-Preferred | — | — | ✓ 150 per 30 days | QL |
NC Medicaid PDL
1 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 2 - Non-Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 2 - Non-Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - HDHP 2026 | Tier 2 - Non-Preferred Generic | ✓ | — | ✓ | PA | QL |