methadone hcl conc

10mg — Solution

ANALGESICS - NARCOTIC

Also known as: methadone hcl conc 10mg/ml; soln 5mg/5ml, 10mg/5ml, 10mg/ml; tabs 5mg, 10mg; tbso 40mg methadone hcl conc 10 mg/ml methadone hcl conc 10mg/ml; soln 5mg/5ml, 10mg/5ml; tabs 5mg, 10mg methadone hcl conc 10mg/ml; soln 5mg/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: 2 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic QL
BCBS Federal Basic Option 2026 Tier 1 - Generic QL
BCBS Federal Focus 2026 Tier 1 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 2 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic PA | ST | QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic PA | ST | QL
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic PA | ST | QL
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