50000 Unit

Generic: cholecalciferol

50000 Unit

NEUROMUSCULAR AGENTS

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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: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
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
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
Focused Silver 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
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
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
Standard Silver with Atrium Health
via cholecalciferol 		Tier 1 - Preferred Generic — — — None
Standard Gold 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
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
Standard Gold with Atrium Health + Vision + Adult Dental
via cholecalciferol 		Tier 1 - Preferred Generic — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 1 - Lowest Cost Generic — — — None
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
Source: CMS QHP JSON  ·  Checked: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Classic Standard
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Classic Standard
via cholecalciferol 		Tier 2 - Generic — — — None
Gold Classic Standard
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Classic Standard | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Classic Standard | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Gold Classic Standard | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Classic
via cholecalciferol 		Tier 2 - Generic — — — None
Secure
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Classic 4700
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Simple PCP Saver
via cholecalciferol 		Tier 2 - Generic — — — None
Gold Elite Saver Plus
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Simple Diabetes
via cholecalciferol 		Tier 2 - Generic — — — None
Secure | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Classic 4700 | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Classic | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Simple Diabetes | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Simple PCP Saver | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Gold Elite Saver Plus | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Bronze Simple Diabetes | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
AIAN Cost Share
via cholecalciferol 		Tier 2 - Generic — — — None
AIAN Cost Share | with Atrium Health
via cholecalciferol 		Tier 2 - Generic — — — None
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