Rivastigmine Transdermal

13.3 MG/24HR — Patch

Also known as: Rivastigmine Transdermal Patch

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 6 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic ST | QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic ST | QL
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