Sign In
Coverage
Check coverage
Home
Butalbital, Acetaminophen, Caffeine - Butalbital, Acetaminophen, And Caffeine tablet
Hawaii Medical Service Association (HMSA)
Hawaii Medical Service Association (HMSA) Coverage for Butalbital, Acetaminophen, Caffeine - Butalbital, Acetaminophen, And Caffeine tablet
All
8
Commercial
3
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - Other Insurer
No PA
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
See Details
Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Butalbital, Acetaminophen, Caffeine - Butalbital, Acetaminophen, And Caffeine tablet
Check medication interactions
Does Hawaii Medical Service Association (HMSA) Cover Butalbital, Acetaminophen, Caffeine? 8 Plans (2026)