Does Bluecross And Blueshield Of South Carolina require prior authorization for Nicotrol?
Bluecross And Blueshield Of South Carolina does not require prior authorization for Nicotrol on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| nicotine 0.5 MG/ACTUAT Metered Dose Nasal Spray [Nicotrol]1797888 | 7 / 7 | 0 | 0 | 7 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — nicotine 0.5 MG/ACTUAT Metered Dose Nasal Spray [Nicotrol]
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| BlueCross Rx Value (PDP) | S5953-001 | 4 | No | No | Yes |
| BlueCross Total (PPO) | H8003-001 | 4 | No | No | Yes |
| BlueCross Total (PPO) | H8003-002 | 4 | No | No | Yes |
| BlueCross Total (PPO) | H8003-003 | 4 | No | No | Yes |
| BlueCross Total Value (PPO) | H8003-004 | 4 | No | No | Yes |
| BlueCross Total Value (PPO) | H8003-005 | 4 | No | No | Yes |
| BlueCross Total Value (PPO) | H8003-006 | 4 | No | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Nicotrol at other payers
Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.