abigale lo

Tablet

Also known as: abigale lo tab 0.5-0.1 Abigale Lo Tab 0.5-0.1

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 23 hours, 48 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026	Tier 1 - Generic	—	—	— NCTM	None
BCBS Federal Standard Option 2026	Tier 1 - Generic	—	—	— NCTM	None
BCBS Federal Basic Option 2026	Tier 1 - Generic	—	—	— NCTM	None

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 23 hours, 48 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 23 hours, 48 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Tier 1 - Preferred Generic	—	—	—	None

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 23 hours, 47 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026	Tier 3 - Mid-Range Cost	—	—	—	None