Hysingla

Generic: hydrocodone

20MG, 30MG, 40MG, 60MG, 80MG, 100MG, 120MG — Extended Release Tablet

Also known as: HYSINGLA ER T24A 20MG, 30MG, 40MG, 60MG, 80MG, 100MG, 120MG HYSINGLA ER T24A 20MG, 30MG, 40MG, 60MG, 100MG HYSINGLA ER T24A 20MG, 30MG, 40MG,

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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.

Blue Cross Blue Shield Federal

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	✓	—	—	PA

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 1 hour, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via Hydrocodone	Tier 1 - Generic	✓	—	—	PA

NC Medicaid PDL

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	✓	—	—	PA
NC Medicaid Preferred Drug List 2026 via Hydrocodone	Non-Preferred	✓	—	—	PA

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 55 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