Amoxicillin-Clavulanate

200-28.5 Mg — Tablet

Antibiotics

Also known as: Augmentin Amoxicillin-Clavulanate 200-28.5 Mg Chewable Tablet Amoxicillin-Clavulanate 400-57 Mg Chewable Tablet Amoxicillin-Clavulanate 200-28.5 Mg/5 Ml Oral Suspension Amoxicillin-Clavulanate 250-62.5 Mg/5 Ml Oral Suspension Amoxicillin-Clavulanate 400-57 Mg/5 Ml Oral Suspension Amoxicillin-Clavulanate 600-42.9 Mg/5 Ml Oral Suspension Amoxicillin-Clavulanate 250-125 Mg Tablet Amoxicillin-Clavulanate 500-125 Mg Tablet Amoxicillin-Clavulanate 875-125 Mg Tablet Amoxicillin-Clavulanate Er 1,000-62.5 Mg Tablet
GoodRx Compare Prices

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 15 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via Augmentin 		Tier 3 - Non-Preferred Brand — — — None
BCBS Federal Standard Option 2026
via Augmentin 		Tier 3 - Non-Preferred Brand — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 15 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026
via Augmentin 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Care 2026
via Augmentin 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Advantage 2026
via Augmentin 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Value 2026
via Augmentin 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Home with UNC Health Alliance 2026
via Augmentin 		Tier 1 - Lowest Cost Generic — — — None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 15 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 2 - Preferred Brand — — — None
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 15 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via Augmentin 		Tier 1 - Preferred Generic — — — None
Longevity Health Plan (HMO I-SNP)
via Augmentin 		Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via Augmentin 		Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Community Plan (HMO I-SNP)
via Augmentin 		Tier 1 - Preferred Generic — — — None
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via Augmentin 		Tier 4 - Non-Preferred — — — None
HealthTeam Advantage Vitality Plan (PPO)
via Augmentin 		Tier 4 - Non-Preferred — — — None
HealthTeam Advantage Plan II (PPO)
via Augmentin 		Tier 4 - Non-Preferred — — — None
HealthTeam Advantage Plan I (PPO)
via Augmentin 		Tier 4 - Non-Preferred — — — None
HealthSpring Preferred Plus (HMO)
via Augmentin 		Tier 5 - Specialty — — — None
HealthSpring TotalCare Plus (HMO D-SNP)
via Augmentin 		Tier 5 - Specialty — — — None
HealthSpring Preferred (HMO)
via Augmentin 		Tier 5 - Specialty — — — None
HealthSpring Preferred Select (HMO)
via Augmentin 		Tier 5 - Specialty — — — None
HealthSpring Preferred Savings (HMO)
via Augmentin 		Tier 5 - Specialty — — — None
HealthSpring True Choice (PPO)
via Augmentin 		Tier 5 - Specialty — — — None
HealthSpring TotalCare (HMO D-SNP)
via Augmentin 		Tier 5 - Specialty — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 15 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 15 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via Augmentin 		Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - HDHP 2026
via Augmentin 		Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Augmentin 		Tier 3 - Non-Preferred Brand — — — None
Something not right?