Afluria 2024-2025

Generic: influenza A virus A/Thailand/8/2022 (H3N2) antigen

0.015 MG — Prefilled Syringe

Also known as: influenza A virus A/Thailand/8/2022 (H3N2) antigen Afluria Preservative Free Intramuscular Suspension Prefilled Syringe

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: Sep 22, 2026  ·  Checked: 10 hours, 1 minute ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluad 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluarix 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2024-2025
Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals Brand-Preferred — — — None
Source: PDF  ·  Formulary date: Oct 7, 2026  ·  Checked: 10 hours, 1 minute ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze 6500 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 5000 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 3600 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 3600 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible
via Fluad 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 5000 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 3600 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via Fluarix 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 5000 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 3600 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold 1500 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via Flulaval 2024-2025
Tier 3 - Preferred Brand — — — None
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