50000 Unit

Generic: cholecalciferol

50000 Unit

NEUROMUSCULAR AGENTS

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 7 hours, 38 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Gold with Atrium Health + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Expanded Bronze + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Silver + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Gold + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Silver with Atrium Health + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Focused Silver with Atrium Health + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Complete Gold
via Decara
Tier 1 - Preferred Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Decara
Tier 1 - Preferred Generic None
Everyday Bronze
via Decara
Tier 1 - Preferred Generic None
Elite Bronze
via Decara
Tier 1 - Preferred Generic None
Clear Silver with $0 Insulin Options
via Decara
Tier 1 - Preferred Generic None
Standard Expanded Bronze
via Decara
Tier 1 - Preferred Generic None
Standard Silver
via Decara
Tier 1 - Preferred Generic None
Standard Gold
via Decara
Tier 1 - Preferred Generic None
Everyday Bronze with Atrium Health
via Decara
Tier 1 - Preferred Generic None
Elite Bronze with Atrium Health
via Decara
Tier 1 - Preferred Generic None
Focused Silver with Atrium Health
via Decara
Tier 1 - Preferred Generic None
Complete Gold with Atrium Health
via Decara
Tier 1 - Preferred Generic None
Standard Expanded Bronze with Atrium Health
via Decara
Tier 1 - Preferred Generic None
Standard Silver with Atrium Health
via Decara
Tier 1 - Preferred Generic None
Standard Gold with Atrium Health
via Decara
Tier 1 - Preferred Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Complete Gold + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Everyday Bronze + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Elite Bronze + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Elite Bronze with Atrium Health + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Complete Gold with Atrium Health + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Standard Expanded Bronze + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Standard Silver + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Standard Gold + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Standard Silver with Atrium Health + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Standard Gold with Atrium Health + Vision + Adult Dental
via Decara
Tier 1 - Preferred Generic None
Standard Silver with Atrium Health
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Gold with Atrium Health
via cholecalciferol
Tier 1 - Preferred Generic None
Complete Gold
via cholecalciferol
Tier 1 - Preferred Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via cholecalciferol
Tier 1 - Preferred Generic None
Everyday Bronze
via cholecalciferol
Tier 1 - Preferred Generic None
Elite Bronze
via cholecalciferol
Tier 1 - Preferred Generic None
Clear Silver with $0 Insulin Options
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Expanded Bronze
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Silver
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Gold
via cholecalciferol
Tier 1 - Preferred Generic None
Everyday Bronze with Atrium Health
via cholecalciferol
Tier 1 - Preferred Generic None
Elite Bronze with Atrium Health
via cholecalciferol
Tier 1 - Preferred Generic None
Focused Silver with Atrium Health
via cholecalciferol
Tier 1 - Preferred Generic None
Complete Gold with Atrium Health
via cholecalciferol
Tier 1 - Preferred Generic None
Standard Expanded Bronze with Atrium Health
via cholecalciferol
Tier 1 - Preferred Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Complete Gold + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Everyday Bronze + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Elite Bronze + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Elite Bronze with Atrium Health + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Focused Silver with Atrium Health + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Complete Gold with Atrium Health + Vision + Adult Dental
via cholecalciferol
Tier 1 - Preferred Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 7 hours, 38 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Local 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Care 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Value 2026 Tier 1 - Lowest Cost Generic None
BCBSNC Blue Advantage 2026 Tier 1 - Lowest Cost Generic None
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