Myobloc

Generic: botulinum toxin type B

2500UNIT/0.5ML, 5000UNIT — Solution

NEUROMUSCULAR BLOCKING AGENT - NEUROTOXINS

Also known as: MYOBLOC SOLN 2500UNIT/0.5ML, 5000UNIT/ML, 10000UNIT/2ML MYOBLOC SOLN 2500UNIT/0.5ML,

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: 17 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 2 - Preferred Brand PA
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty PA
BCBS Federal Basic Option 2026 Tier 4 - Preferred Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
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