tirofiban hcl in nacl 0.9% iv

0.9% — Solution

1000UNIT, 2000UNIT, 3000UNIT

Also known as: tirofiban hcl in nacl 0.9% iv soln 5 mg/100ml (base equiv) tirofiban hcl in nacl 0.9% iv soln 12.5 mg/250ml (base eq) tirofiban hcl in nacl 0.9% iv soln 5 mg/100ml tirofiban hcl in nacl 0.9% iv soln 12.5 mg/250ml

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: 4 hours, 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
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