scopolamine td

Patch

ULCER DRUGS

Also known as: scopolamine td patch 72hr 1 mg/3days

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, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Transderm-Scop
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026
via Transderm-Scop
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026
via Transderm-Scop
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Care 2026
via Transderm-Scop
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Value 2026
via Transderm-Scop
Tier 2 - Medium Cost Generic/Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Transderm-Scop
Preferred None
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