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Informational only — Formulary data may be inaccurate or outdated. Always verify with official plan documents, your pharmacy, or your clinician before acting.
24 results for "Sedative Hypnotics — Quantity limits apply to all sedative hypnotics"
| Drug Name | Generic Name | Strength | Form | Plans Covering | Actions |
|---|---|---|---|---|---|
|
Ambien
Brand for Zolpidem NON-BARBITURATE HYPNOTICS Also: AMBIEN TABS 5MG, 10MG |
Zolpidem | 5MG, 10MG | Tablet | 9 plans | Details |
|
Ambien Cr
Brand for zolpidem tartrate HYPNOTICS Also: AMBIEN CR TBCR 6.25MG, 12.5MG |
zolpidem tartrate | 6.25MG, 12.5MG | Extended Release Tablet | 6 plans | Details |
|
Ambien Tablet / CR
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: AMBIEN TABS 5MG, 10MG |
— | 5MG, 10MG | Tablet | 1 plan | Details |
|
Dayvigo
Brand for lemborexant Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: lemborexant, DAYVIGO TABS 5MG, 10MG, DayVigo Oral Tablet |
lemborexant | 5MG, 10MG | Tablet | 57 plans | Details |
|
Doral
Brand for Quazepam Sedative Hypnotics — Quantity limits apply to all sedative hypnotics |
Quazepam | — | Tablet | 1 plan | Details |
|
Edluar SL
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics |
— | — | Tablet | 1 plan | Details |
|
Flurazepam
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: Dalmane, Flurazepam 15 Mg Capsule, Flurazepam 30 Mg Capsule |
— | 15 Mg | Capsule | 21 plans | Details |
|
Halcion
Brand for triazolam Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: HALCION TABS .25MG |
triazolam | 25MG | Tablet | 11 plans | Details |
|
Hetlioz Capsule / LQ
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics |
— | — | Suspension | 1 plan | Details |
|
Lunesta
Brand for eszopiclone Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: LUNESTA TABS 1MG, 2MG, 3MG |
eszopiclone | 1MG, 2MG, 3MG | Tablet | 10 plans | Details |
|
Quazepam
Benzodiazepines Also: Doral, quazepam tabs 15mg, Quazepam 15 Mg Tablet, Quazepam Oral Tablet |
— | 15 Mg | Tablet | 75 plans | Details |
|
Quviviq
Brand for daridorexant Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: daridorexant, QUVIVIQ TABS 25MG, 50MG |
daridorexant | 25MG, 50MG | Tablet | 36 plans | Details |
|
Restoril
Brand for temazepam Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: RESTORIL CAPS 7.5MG, 15MG, 22.5MG, 30MG, RESTORIL CAPS 30MG |
temazepam | 7.5MG, 15MG, 22.5MG, 30MG | Capsule | 11 plans | Details |
|
Rozerem
Brand for ramelteon Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: ROZEREM TABS 8MG |
ramelteon | 8MG | Tablet | 10 plans | Details |
|
Silenor
Brand for doxepin HYPNOTICS - TRICYCLIC AGENTS Also: SILENOR TABS 3MG, 6MG |
doxepin | 3MG, 6MG | Tablet | 5 plans | Details |
|
Zolpidem
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: Ambien, Ambien CR, Zolpidem 5 Mg Tablet, Zolpidem 10 Mg Tablet, Zolpidem Er 6.25 Mg Tablet, Zolpidem Er 12.5 Mg Tablet |
— | 6.25 Mg | Tablet | 1 plan | Details |
|
doxepin
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: Silenor, Doxepin 10 Mg Capsule, Doxepin 25 Mg Capsule, Doxepin 50 Mg Capsule, Doxepin 75 Mg Capsule, Doxepin 100 Mg Capsule, Doxepin 150 Mg Capsule, Doxepin 10 Mg/Ml Oral Concentrate, Doxepin 3 Mg Tablet, Doxepin 6 Mg Tablet |
— | 100 MG | Capsule | 241 plans | Details |
|
eszopiclone
HYPNOTICS Also: Lunesta, eszopiclone tabs 1mg, 2mg, 3mg, eszopiclone tab 1 mg, 2 mg, 3 mg, Eszopiclone 1 Mg Tablet, Eszopiclone 2 Mg Tablet, Eszopiclone 3 Mg Tablet, Eszopiclone Oral Tablet |
— | 1 mg, 2 mg, 3 mg | Tablet | 188 plans | Details |
|
ramelteon
HYPNOTICS Also: Rozerem Tablet, ramelteon tabs 8mg, ramelteon tab 8 mg, Ramelteon 8 Mg Tablet, Ramelteon Oral Tablet |
— | 8 MG | Tablet | 221 plans | Details |
|
temazepam
HYPNOTICS Also: temazepam caps 7.5mg, 15mg, 22.5mg, 30mg, temazepam cap 15 mg, 30 mg, Temazepam 7.5 Mg Capsule, Temazepam 15 Mg Capsule, Temazepam 22.5 Mg Capsule, Temazepam 30 Mg Capsule, RESTORIL, Temazepam Oral Capsule |
— | 7.5mg, 15mg, 22.5mg, 30mg | Capsule | 246 plans | Details |
|
temazepam 15mg, 30mg
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: Restoril |
— | 15mg, 30mg | Capsule | 1 plan | Details |
|
temazepam 7.5, 22.5 mg
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: Restoril |
— | 22.5 mg | Capsule | 1 plan | Details |
|
triazolam
HYPNOTICS Also: Halcion, triazolam tabs .125mg, .25mg, triazolam tab 0.125 mg, triazolam tab 0.25 mg, Triazolam 0.125 Mg Tablet, Triazolam 0.25 Mg Tablet, Triazolam Oral Tablet |
— | 0.125 MG | Tablet | 102 plans | Details |
|
zolpidem SL
Sedative Hypnotics — Quantity limits apply to all sedative hypnotics Also: Intermezzo |
— | — | Tablet | 1 plan | Details |