luizza

Tablet

300GM

Also known as: luizza tab 1.5/30 Luizza Tab 1.5/30
GoodRx Compare Prices

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: 20 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic — — — NCTM None
BCBS Federal Basic Option 2026 Tier 1 - Generic — — — NCTM None
BCBS Federal Focus 2026 Tier 1 - Generic — — — NCTM None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 0 - $0 Copay (ACA Preventive) — — — None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 0 - $0 Copay (ACA Preventive) — — — None
NC State Health Plan - HDHP 2026 Tier 0 - $0 Copay (ACA Preventive) — — — None
Something not right?