vancomycin hcl
125 mg, 250 mg — Capsule
Also known as:
vancomycin hcl oral capsule
vancomycin hcl oral solution
vancomycin hcl caps 125mg; solr 5gm, 10gm, 25mg/ml
vancomycin hcl caps 250mg; solr 1gm, 1.25gm, 1.5gm, 50mg/ml, 100gm, 500mg, 750mg
vancomycin hcl cap 125 mg (base equivalent), 250 mg (base equivalent)
vancomycin hcl caps 125mg, 250mg; solr 25mg/ml, 50mg/ml, 250mg/5ml
vancomycin hcl caps 125mg; solr 5gm, 10gm,
vancomycin hcl caps 250mg; soln
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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
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBS Federal Focus 2026 | Tier 1 - Generic | — | — | — | None |
| BCBS Federal Standard Option 2026 | Tier 1 - Generic | — | — | — | None |
| BCBS Federal Basic Option 2026 | Tier 1 - Generic | — | — | — | None |
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 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 |