sumatriptan succinate soaj
Generic: sumatriptan succinate
4mg/0.5ml — Solution
Serotonin-1b and Serotonin-1d Receptor Agonist
Also known as:
sumatriptan succinate soaj 4mg/0.5ml; soct 4mg/0.5ml; soln 6mg/0.5ml; tabs 25mg, 50mg, 100mg
sumatriptan succinate soaj 6mg/0.5ml; soct 6mg/0.5ml
sumatriptan succinate soaj 6mg/0.5ml
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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 Standard Option 2026
via sumatriptan succinate |
Tier 1 - Generic | — | — | ✓ | QL |
|
BCBS Federal Focus 2026
via sumatriptan succinate |
Tier 1 - Generic | — | — | ✓ | QL |
|
BCBS Federal Basic Option 2026
via sumatriptan succinate |
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 |
Blue Cross Blue Shield of NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Value 2026
via sumatriptan succinate |
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
via sumatriptan succinate |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via sumatriptan succinate |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via sumatriptan succinate |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Local 2026
via sumatriptan succinate |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
Cigna
1 planNC Medicaid PDL
1 planNC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via sumatriptan succinate |
Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - HDHP 2026
via sumatriptan succinate |
Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - 70/30 Standard PPO 2026
via sumatriptan succinate |
Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 2 - Non-Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - HDHP 2026 | Tier 2 - Non-Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 2 - Non-Preferred Generic | ✓ | — | ✓ | PA | QL |