vigabatrin powder packet

Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product.

Also known as: Sabril
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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.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 10 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Sabril 		Tier 5 - Specialty — — — Limited Distribution None
BCBSNC Blue Home with UNC Health Alliance 2026
via Sabril 		Tier 5 - Specialty — — — Limited Distribution None
BCBSNC Blue Local 2026
via Sabril 		Tier 5 - Specialty — — — Limited Distribution None
BCBSNC Blue Care 2026
via Sabril 		Tier 5 - Specialty — — — Limited Distribution None
BCBSNC Blue Value 2026
via Sabril 		Tier 5 - Specialty — — — Limited Distribution None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 10 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Preferred — — — None
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