Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Ambetter (Centene)
68 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Signature Silver + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx 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 |
|
Signature Expanded Bronze
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Silver
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature 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 |
|
Signature Expanded Bronze with Atrium Health
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Silver with Atrium Health
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Gold with Atrium Health
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx 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 |
|
Signature Expanded Bronze + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Complete Gold
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Gold + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Streamlined Silver with Atrium Health
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Streamlined Silver
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Decara |
Tier 1 - Preferred Generic | — | — | — | None |
|
Complete Gold
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx 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 |
|
Signature Expanded Bronze
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Silver
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature 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 |
|
Signature Expanded Bronze with Atrium Health
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Silver with Atrium Health
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Gold with Atrium Health
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx 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 |
|
Signature Expanded Bronze + Vision + Adult Dental
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Silver + Vision + Adult Dental
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Gold + Vision + Adult Dental
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Streamlined Silver with Atrium Health
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Streamlined Silver
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via cholecalciferol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options + 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 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 |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
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 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 |
|
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 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 |
|
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 |
|
Gold Elite Saver Plus
via cholecalciferol |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple PCP Saver
via cholecalciferol |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Diabetes
via cholecalciferol |
Tier 2 - Generic | — | — | — | None |
|
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 |