sumatriptan succinate

100 mg, 11 mg, 25 mg, 3 mg/0.5 mL, 50 mg, 6 mg/0.5 mL — Injection

MIGRAINE PRODUCTS

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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.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic QL
BCBS Federal Focus 2026 Tier 1 - Generic QL
BCBS Federal Basic Option 2026 Tier 1 - Generic QL
BCBS Federal Basic Option 2026
via Zembrace SymTouch
Tier 3 - Non-Preferred Brand QL
BCBS Federal Standard Option 2026
via Zembrace SymTouch
Tier 3 - Non-Preferred Brand QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Advantage 2026
via Imitrex Statdose Sys
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Imitrex Statdose Sys
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Local 2026
via Imitrex Statdose Sys
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Care 2026
via Imitrex Statdose Sys
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Value 2026
via Imitrex Statdose Sys
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Advantage 2026 Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand QL
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 1 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Zembrace SymTouch
Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic PA | QL
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic PA | QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic PA | QL
NC State Health Plan - 70/30 Standard PPO 2026
via sumatriptan succinate soaj
Tier 2 - Non-Preferred Generic PA | QL
NC State Health Plan - HDHP 2026
via sumatriptan succinate soaj
Tier 2 - Non-Preferred Generic PA | QL
NC State Health Plan - 80/20 Plus PPO 2026
via sumatriptan succinate soaj
Tier 2 - Non-Preferred Generic PA | QL
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary PA | QL
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Unknown QL
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