FillMap35107nv0010004

Does 35107nv0010004 cover acetaminophen / benzhydrocodone?

35107nv0010004
35107-35107NV0010004-0 · ACA · ACA Marketplace
acetaminophen / benzhydrocodone
acetaminophen / benzhydrocodoneunder 35107nv0010004
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 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 (3)

  • acetaminophen 325 MG / benzhydrocodone 4.08 MG Oral TabletApproval first
  • acetaminophen 325 MG / benzhydrocodone 6.12 MG Oral TabletApproval first
  • acetaminophen 325 MG / benzhydrocodone 8.16 MG Oral TabletApproval first

← All coverage for acetaminophen / benzhydrocodone