Ondansetron Hcl

4mg/2ml, 4mg/5ml, 40mg/20ml — Tablet

ULCER DRUGS

Also known as: ondansetron hcl oral ondansetron hcl soln 4mg/2ml, 4mg/5ml, 40mg/20ml; sosy 4mg/2ml; tabs 4mg, 8mg, 24mg ondansetron hcl oral soln 4 mg/5ml ondansetron hcl tab 4 mg, 8 mg ondansetron hcl soln 4mg/2ml; sosy 4mg/2ml ondansetron hcl soln 4mg/5ml; tabs 4mg, 8mg ondansetron hcl soln 4mg/2ml, 4mg/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: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 1 - Generic QL
BCBS Federal Standard Option 2026 Tier 1 - Generic QL
BCBS Federal Basic Option 2026 Tier 1 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Care 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Value 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Advantage 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 1 - Lowest Cost Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic PA | QL
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic PA | QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic PA | QL
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 20 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 2 - Lower Cost None
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