piperacillin sod-tazobactam sod for

2.25 g — Injection

(3-0.375 gm)

Also known as: piperacillin sod-tazobactam sod for inj 2.25 gm (2-0.25 gm) piperacillin sod-tazobactam sod for inj 4.5 gm (4-0.5 gm) piperacillin sod-tazobactam sod for inj 13.5 gm (12-1.5 gm) piperacillin sod-tazobactam sod for inj 40.5 gm (36-4.5 gm) piperacillin sod-tazobactam sod for inj 2.25 gm piperacillin sod-tazobactam sod for inj 4.5 gm piperacillin sod-tazobactam sod for inj 13.5 gm piperacillin sod-tazobactam sod for inj 40.5 gm

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: 6 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
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