Sign In
Coverage
Check coverage
Home
Brompheniramine, Pseudoephedrine, Dextromethorphan - Brompheniramine, Pseudoephedrine, Dextromethorphan syrup
Providence Health Plan
Providence Health Plan Coverage for Brompheniramine, Pseudoephedrine, Dextromethorphan - Brompheniramine, Pseudoephedrine, Dextromethorphan syrup
All
6
Commercial
3
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No 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
Support for Getting Your Patient on Brompheniramine, Pseudoephedrine, Dextromethorphan - Brompheniramine, Pseudoephedrine, Dextromethorphan syrup
Check medication interactions
Does Providence Health Plan Cover Brompheniramine, Pseudoephedrine, Dextromethorphan? 6 Plans (2026)