Hydroxyzine

25 Ml — Tablet

Also known as: Hydroxyzine 10 Mg/5 Ml Oral Solution Hydroxyzine 50 Mg/25 Ml Oral Solution Hydroxyzine 10 Mg/5 Ml Syrup Hydroxyzine 10 Mg Tablet Hydroxyzine 25 Mg Tablet Hydroxyzine 50 Mg 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.

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 2 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 1 - Generic	—	—	—	None