valsartan/hydrochlorothiazide

160 mg-12.5 mg, 160 mg-25 mg, 320 mg-12.5 mg, 320 mg-25 mg, 80 mg-12.5 mg — Tablet

RENIN-ANGIOTENSIN ANTIHYPERTENSIVES

Also known as: VALSARTAN-HYDROCHLOROTHIAZIDE DIOVAN HCT

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: 16 hours, 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via valsartan-hydrochlorothiazide
Tier 1 - Generic None
BCBS Federal Focus 2026
via valsartan-hydrochlorothiazide
Tier 1 - Generic None
BCBS Federal Standard Option 2026
via valsartan-hydrochlorothiazide
Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 16 hours, 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via valsartan-hydrochlorothiazide
Tier 1 - Preferred Generic None
NC State Health Plan - 80/20 Plus PPO 2026
via valsartan-hydrochlorothiazide
Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026
via valsartan-hydrochlorothiazide
Tier 1 - Preferred Generic None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 16 hours, 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 16 hours, 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via valsartan-hydrochlorothiazide
Unknown QL
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