leucovorin calcium solr
50mg, 100mg, 200mg, 350mg — Tablet
CHEMOTHERAPY RESCUE/ANTIDOTE/PROTECTIVE AGENTS
Also known as:
leucovorin calcium solr 50mg, 100mg, 200mg, 350mg; tabs 5mg, 10mg, 15mg, 25mg
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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
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBS Federal Standard Option 2026 | Tier 1 - Generic | — | — | — | None |
| BCBS Federal Basic Option 2026 | Tier 1 - Generic | — | — | — | None |
| BCBS Federal Focus 2026 | Tier 1 - Generic | — | — | — | None |