Does 45142nv0040004 cover aspirin / caffeine / orphenadrine?
45142nv0040004
45142-45142NV0040004-0 · ACA · ACA Marketplace
aspirin / caffeine / orphenadrine
aspirin / caffeine / orphenadrineunder 45142nv0040004
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
- Tier
- Non preferred generic non preferred brand
- Approval first
- Required
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (2)
- aspirin 385 MG / caffeine 30 MG / orphenadrine citrate 25 MG Oral TabletApproval first
- aspirin 385 MG / caffeine 30 MG / orphenadrine citrate 25 MG Oral Tablet [Norgesic]Approval first