lidocaine hcl (cardiac) sosy

Generic: lidocaine hcl (cardiac)

50mg/5ml, 100mg/5ml

(base equiv)

Also known as: lidocaine hcl (cardiac) sosy 50mg/5ml, 100mg/5ml lidocaine hcl (cardiac) sosy 50mg/5ml,

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 5 hours, 13 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
Something not right?