kcl

Generic: kcl 10 meq/l (0.075%) in dextrose 5% & nacl

4500 MG, 9000 MG, 12500 MG, 25000 MG, 50000 MG — Injection

Also known as: kcl 10 meq/l (0.075%) in dextrose 5% & nacl 0.45% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.2% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.9% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.45% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.225% inj kcl 20 meq/l (0.15%) in nacl 0.9% inj kcl 20 meq/l (0.15%) in nacl 0.45% inj kcl 20 meq/l (0.149%) in nacl 0.9% inj kcl 20 meq/l (0.149%) in nacl 0.45% inj kcl 30 meq/l (0.224%) in dextrose 5% & nacl 0.45% inj kcl 40 meq/l (0.3%) in dextrose 5% & nacl 0.9% inj kcl 40 meq/l (0.3%) in dextrose 5% & nacl 0.45% inj kcl 40 meq/l (0.3%) in nacl 0.9% inj kcl 40 meq/l (0.298%) in nacl 0.9% inj kcl 10 meq/l (0.075%) in dextrose 5% & nacl kcl 20 meq/l (0.15%) in dextrose 5% & nacl kcl 30 meq/l (0.224%) in dextrose 5% & nacl kcl 40 meq/l (0.3%) in dextrose 5% & nacl

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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.

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 3 hours, 36 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026	Tier 1 - Preferred Generic	—	—	—	None