mycophenolate sodium

180 mg, 360 mg — Tablet

ASSORTED CLASSES

Also known as: mycophenolate sodium tab dr 180 mg (mycophenolic acid equiv), 360 mg (mycophenolic acid equiv) mycophenolate sodium tbec 180mg, 360mg

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: 4 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 1 - Generic None
BCBS Federal Standard Option 2026 Tier 1 - Generic None
BCBS Federal Basic Option 2026 Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via mycophenolate sodium tbec
Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026
via mycophenolate sodium tbec
Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026
via mycophenolate sodium tbec
Tier 1 - Preferred Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 4 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 4 - Higher Cost None
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