potassium phosphates

1180 MG, 3540 MG, 4500 MG, 11800 MG — Injection

.25%, .5%

Also known as: potassium phosphates inj 15 mm/5ml (phos) 22 meq/5ml (k) potassium phosphates inj 45 mm/15ml (phos) 66 meq/15ml (k) potassium phosphates inj 150 mm/50ml (phos) 220 meq/50ml (k) potassium phosphates inj 15 mm/5ml (phos) 22 potassium phosphates inj 45 mm/15ml (phos) potassium phosphates inj 150 mm/50ml (phos)

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: 3 hours, 34 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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