omeprazole-sodium bicarbonate capsule / packet

Generic: omeprazole-sodium bicarbonate

1100 mg — Capsule

Proton Pump Inhibitors

Also known as: Zegerid Rx omeprazole-sodium bicarbonate cap 20-1100 mg omeprazole-sodium bicarbonate cap 40-1100 mg

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: 20 hours, 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via omeprazole-sodium bicarbonate
Tier 1 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred ST
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via omeprazole-sodium bicarbonate
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via omeprazole-sodium bicarbonate
Not Covered None
NC State Health Plan - HDHP 2026
via omeprazole-sodium bicarbonate
Not Covered None
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