Zegerid

Generic: omeprazole/sodium bicarbonate

Capsule

Proton Pump Inhibitor

Also known as: ZEGERID CAP 20-1100 ZEGERID CAP 40-1100 ZEGERID POW 20-1680 ZEGERID POW 40-1680

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: 23 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via omeprazole-sodium bicarbonate
Tier 1 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via omeprazole-sodium bicarbonate
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via omeprazole-sodium bicarbonate
Not Covered None
NC State Health Plan - HDHP 2026
via omeprazole-sodium bicarbonate
Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 23 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via omeprazole/sodium bicarbonate
Tier 3 - Non-Formulary PA
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