Sign In
Coverage
Check coverage
Home
Ergotamine Tartrate And Caffeine - Ergotamine Tartrate And Caffeine tablet, Film Coated
Horizon Blue Cross and Blue Shield of New Jersey
Horizon Blue Cross and Blue Shield of New Jersey Coverage for Ergotamine Tartrate And Caffeine - Ergotamine Tartrate And Caffeine tablet, Film Coated
All
7
Commercial
4
Health Exchange
1
Medicare
2
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Point of Service
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
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 Ergotamine Tartrate And Caffeine - Ergotamine Tartrate And Caffeine tablet, Film Coated
Check medication interactions