Hydromet
Generic: homatropine methylbromide
5 Mg, 5 Ml — Tablet
Respiratory Tract Agents, Other
Also known as:
Hydromet 5 Mg-1.5 Mg/5 Ml Oral Solution
homatropine methylbromide
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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.
Oscar Health
56 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
AIAN Cost Share | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic Standard | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic Standard | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Gold Classic Standard | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Chronic Care CKM | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Secure | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic 4700 | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Elite + PCP Saver Plus | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Diabetes | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple PCP Saver | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Gold Elite Saver Plus | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Diabetes | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Chronic Care CKM | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
AIAN Cost Share
via Tussigon |
Tier 2 - Generic | — | — | — | None |
| Bronze Elite + PCP Saver Plus | Tier 2 - Generic | — | — | — | None |
| Silver Classic | Tier 2 - Generic | — | — | — | None |
| Secure | Tier 2 - Generic | — | — | — | None |
| Bronze Classic 4700 | Tier 2 - Generic | — | — | — | None |
| Silver Simple PCP Saver | Tier 2 - Generic | — | — | — | None |
| Gold Elite Saver Plus | Tier 2 - Generic | — | — | — | None |
| Silver Simple Diabetes | Tier 2 - Generic | — | — | — | None |
| Bronze Classic Standard | Tier 2 - Generic | — | — | — | None |
| Silver Classic Standard | Tier 2 - Generic | — | — | — | None |
| Gold Classic Standard | Tier 2 - Generic | — | — | — | None |
| Bronze Classic Standard | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Silver Classic Standard | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Gold Classic Standard | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Bronze Simple Chronic Care CKM | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Secure | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Bronze Classic 4700 | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Bronze Elite + PCP Saver Plus | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Silver Classic | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Silver Simple Diabetes | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Silver Simple PCP Saver | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Gold Elite Saver Plus | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Bronze Simple Diabetes | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Silver Simple Chronic Care CKM | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Silver Simple Women's Health with Menopause Benefits | with Atrium Health | Tier 2 - Generic | — | — | — | None |
| AIAN Cost Share | Tier 2 - Generic | — | — | — | None |
| AIAN Cost Share | with Atrium Health | Tier 2 - Generic | — | — | — | None |
|
Bronze Elite + PCP Saver Plus
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Secure
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic 4700
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple PCP Saver
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Gold Elite Saver Plus
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Diabetes
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic Standard
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic Standard
via Tussigon |
Tier 2 - Generic | — | — | — | None |
|
Gold Classic Standard
via Tussigon |
Tier 2 - Generic | — | — | — | None |
UnitedHealthcare
17 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| UHC Gold Standard (No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Silver Standard (No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Bronze Standard (No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Bronze Standard+ Dental + Vision (No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| 54332NC0060009 | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| 54332NC0060010 | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| 54332NC0030042 | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| 54332NC0060008 | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |