pb-hyoscy-atrop-scopol elix 16.2-0.1037- 0.0194-0.0065 mg/5ml
Generic: pb-hyoscy-atrop-scopol
0.0065 mg/5ml — Tablet
Also known as:
pb-hyoscy-atrop-scopol tab 16.2-0.1037- 0.0194-0.0065 mg
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Blue Cross Blue Shield Federal
3 plans| 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 |