matzim la tb24

Generic: matzim la

180mg, 240mg, 300mg, 360mg, 420mg

4gm/dose

Also known as: matzim la tb24 180mg, 240mg, 300mg, 360mg, 420mg Matzim La Tb24 180mg, 240mg, 300mg,

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: 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via Matzim La
Tier 1 - Generic None
BCBS Federal Basic Option 2026
via Matzim La
Tier 1 - Generic None
BCBS Federal Focus 2026
via Matzim La
Tier 1 - Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026
via Matzim La
Tier 2 - Preferred Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Matzim La
Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via Matzim La
Tier 3 - Mid-Range Cost None
Something not right?