sildenafil citrate (pulmonary hypertension)

10mg/12.5ml — Solution

chloride 0.83%

Also known as: sildenafil citrate (pulmonary hypertension) soln 10mg/12.5ml sildenafil citrate (pulmonary hypertension) soln

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, 17 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 4 - Specialty Generic PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 4 - Specialty Generic PA
NC State Health Plan - HDHP 2026 Tier 4 - Specialty Generic PA
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