sulfamethoxazole/trimethoprim
200 mg-40 mg/5 mL, 200 mg-40 mg/5 mL (5 mL), 400 mg-80 mg, 800 mg-160 mg — Tablet
Also known as:
BACTRIM
SULFATRIM
BACTRIM DS
SULFAMETHOXAZOLE-TRIMETHOPRIM
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Blue Cross Blue Shield Federal
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Focus 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Basic Option 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Standard Option 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Basic Option 2026
via Bactrim Ds |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Standard Option 2026
via Bactrim Ds |
Tier 3 - Non-Preferred Brand | — | — | — | None |
Blue Cross Blue Shield of NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Advantage 2026
via Bactrim Ds |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Bactrim Ds |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Local 2026
via Bactrim Ds |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Care 2026
via Bactrim Ds |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Value 2026
via Bactrim Ds |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Care 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Local 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Value 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Lowest Cost Generic | — | — | — | None |
NC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - HDHP 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via sulfamethoxazole-trimethoprim |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Bactrim Ds |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Bactrim Ds |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Bactrim Ds |
Tier 3 - Non-Preferred Brand | — | — | — | None |