Sign In
Coverage
Check coverage
Home
Cyclomydril - Cyclopentolate Hydrochloride And Phenylephrine Hydrochloride solution/ Drops
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee Coverage for Cyclomydril - Cyclopentolate Hydrochloride And Phenylephrine Hydrochloride solution/ Drops
All
5
Commercial
2
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Employer
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
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
Support for Getting Your Patient on Cyclomydril - Cyclopentolate Hydrochloride And Phenylephrine Hydrochloride solution/ Drops
Check medication interactions
Does BlueCross BlueShield of Tennessee Cover Cyclomydril? 5 Plans (2026)