Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Ambetter (Centene)
58 plans| 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 |
Blue Cross Blue Shield of NC
5 plans| 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 |