Vancomyc/D5W
500MG — Injection
Also known as:
VANCOMYC/D5W INJ 1.5/250
VANCOMYC/D5W INJ 1.5/300
VANCOMYC/D5W INJ 1.25/250
VANCOMYC/D5W INJ 1GM
VANCOMYC/D5W INJ 500MG
VANCOMYC/D5W INJ 750MG
Compare Prices
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |