sodium phenylbutyrate Tablet

Powder

Miscellaneous — Uterine Disorder Treatments

Also known as: Buphenyl

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, 44 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Buphenyl
Tier 5 - Specialty PA
BCBSNC Blue Home with UNC Health Alliance 2026
via Buphenyl
Tier 5 - Specialty PA
BCBSNC Blue Local 2026
via Buphenyl
Tier 5 - Specialty PA
BCBSNC Blue Care 2026
via Buphenyl
Tier 5 - Specialty PA
BCBSNC Blue Value 2026
via Buphenyl
Tier 5 - Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 44 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred ST
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