memantine hcl
14 mg, 21 mg, 28 mg, 7 mg, 7 mg (7)-14 mg (7)-21 mg (7)-28 mg (7) — Tablet
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ ANOREXIANTS
Also known as:
memantine hcl oral solution 2 mg/
memantine hcl oral tablet
memantine hcl tab 28 x 5 mg & 21 x 10 mg titration pack
memantine hcl tab 5 mg, 10 mg
NAMENDA XR
MEMANTINE HCL ER
memantine hcl tab 28 x 5 mg & 21 x 10 mg
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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 Basic Option 2026 | Tier 1 - Generic | — | — | — | None |
| BCBS Federal Focus 2026 | Tier 1 - Generic | — | — | — | None |
| BCBS Federal Standard Option 2026 | Tier 1 - Generic | — | — | — | None |
Blue Cross Blue Shield of NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Local 2026 | Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
| BCBSNC Blue Care 2026 | Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
| BCBSNC Blue Value 2026 | Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
| BCBSNC Blue Advantage 2026 | Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 1 - Lowest Cost Generic | — | — | ✓ | QL |
|
BCBSNC Blue Local 2026
via Memantine Hcl Titration P |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via Memantine Hcl Titration P |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Value 2026
via Memantine Hcl Titration P |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via Memantine Hcl Titration P |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Memantine Hcl Titration P |
Tier 4 - Higher Cost Brand | — | — | ✓ | QL |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - HDHP 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |