Armour Thyroid

Generic: thyroid

15MG, 30MG, 60MG, 90MG, 120MG, 180MG, 240MG, 300MG — Tablet

Also known as: thyroid (USP) Armour Thyroid 15 Mg Tablet Armour Thyroid 30 Mg Tablet Armour Thyroid 60 Mg Tablet Armour Thyroid 90 Mg Tablet Armour Thyroid 120 Mg Tablet Armour Thyroid 180 Mg Tablet Armour Thyroid 240 Mg Tablet Armour Thyroid 300 Mg Tablet ARMOUR THYROID TABS 15MG, 30MG, 60MG, 90MG, 120MG, 180MG, 240MG, 300MG ARMOUR THYROID TABS 15MG, 30MG, 60MG,

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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.

Ambetter (Centene)

102 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 6 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Focused Silver with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Streamlined Silver via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze	Tier 3 - Preferred Brand	—	—	✓	QL
Clear Silver with $0 Insulin Options	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Streamlined Silver with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Focused Silver with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Clear Silver with $0 Insulin Options via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold via Amerithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options	Tier 3 - Preferred Brand	—	—	✓	QL
Streamlined Silver with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Streamlined Silver	Tier 3 - Preferred Brand	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Clear Silver with $0 Insulin Options via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Focused Silver with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Streamlined Silver with Atrium Health via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Streamlined Silver via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via Evexithroid	Tier 3 - Preferred Brand	—	—	✓	QL

Blue Cross Blue Shield Federal

6 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 6 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026 via Thyroid	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Focus 2026	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026 via Thyroid	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026 via Thyroid	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None

Blue Cross Blue Shield of NC

55 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 6 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Local 2026 via Np Thyroid 30	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Np Thyroid 30	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Np Thyroid 30	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Np Thyroid 15	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Np Thyroid 15	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Np Thyroid 15	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Np Thyroid 15	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Np Thyroid 15	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Np Thyroid 120	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Np Thyroid 120	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Np Thyroid 120	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Np Thyroid 120	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Np Thyroid 120	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Np Thyroid 60	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Np Thyroid 60	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Np Thyroid 60	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Np Thyroid 60	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Np Thyroid 30	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Np Thyroid 30	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Np Thyroid 60	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Renthyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Amerithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Amerithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Amerithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Amerithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Amerithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Renthyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Renthyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Renthyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Renthyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Evexithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Evexithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Evexithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Evexithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Evexithroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Np Thyroid 90	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Np Thyroid 90	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Np Thyroid 90	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Np Thyroid 90	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Np Thyroid 90	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Niva Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Niva Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Niva Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Niva Thyroid	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Niva Thyroid	Tier 3 - High Cost Brand	—	—	—	None

Cigna

60 plans

Source: PDF · Formulary date: Oct 7, 2026 · Checked: 6 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Connect myDiabetesCare Bronze via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver 3600 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver 3000 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze CMS Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Gold 1500 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze RD 5000 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver CMS Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze 7000 HSA Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Gold RD CMS Standard via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD 2200 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD CMS Standard via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze RD CMS Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD 3500 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect myDiabetesCare Silver via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect myDiabetesCare Bronze via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Gold CMS Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD CMS Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD 2200 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Gold RD CMS Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze 7000 HSA Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Gold CMS Standard via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver CMS Standard via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze CMS Standard via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver 3000 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver 3600 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver 5000 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze RD 5000 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze RD CMS Standard via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver RD 3500 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Silver 5000 Indiv Med Deductible via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Connect Gold 1500 Indiv Med Deductible via Thyroid	Tier 2 - Generic	—	—	—	None
Connect myDiabetesCare Silver via Thyroid	Tier 2 - Generic	—	—	—	None
Connect myDiabetesCare Bronze	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 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

NC State Health Plan

30 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 6 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Np Thyroid 60	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Np Thyroid 120	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Np Thyroid 30	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Np Thyroid 90	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Np Thyroid 90	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026 via Np Thyroid 90	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Np Thyroid 30	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026 via Np Thyroid 30	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Np Thyroid 120	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Np Thyroid 15	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Np Thyroid 15	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026 via Np Thyroid 15	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026 via Np Thyroid 120	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Np Thyroid 60	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Np Thyroid 60	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Evexithroid	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Evexithroid	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Amerithroid	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Amerithroid	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Amerithroid	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Thyroid	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Thyroid	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Thyroid	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Renthyroid	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Renthyroid	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Renthyroid	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Evexithroid	Not Covered	—	—	—	None

Oscar Health

84 plans

Source: CMS QHP JSON · Checked: 6 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Silver Simple Diabetes via Niva Thyroid	Tier 2 - Generic	—	—	—	None
AIAN Cost Share \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
AIAN Cost Share via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Simple Chronic Care CKM \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Simple Diabetes \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Classic \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Secure \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Simple Chronic Care CKM \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Gold Classic Standard \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Classic Standard \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard \| with Atrium Health via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Gold Classic Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Classic Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Secure via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Silver Classic via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus via Niva Thyroid	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Classic via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Secure via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Classic Standard via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Gold Classic Standard via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Classic Standard \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Gold Classic Standard \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Simple Chronic Care CKM \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Secure \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Classic \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Simple Diabetes \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Simple Chronic Care CKM \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
AIAN Cost Share via thyroid (USP)	Tier 2 - Generic	—	—	—	None
AIAN Cost Share \| with Atrium Health via thyroid (USP)	Tier 2 - Generic	—	—	—	None
Bronze Simple Diabetes \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Classic \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Secure \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Simple Chronic Care CKM \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Gold Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Gold Classic Standard	Tier 2 - Generic	—	—	—	None
Silver Classic Standard	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700	Tier 2 - Generic	—	—	—	None
Secure	Tier 2 - Generic	—	—	—	None
Silver Classic	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus	Tier 2 - Generic	—	—	—	None
AIAN Cost Share \| with Atrium Health	Tier 2 - Generic	—	—	—	None
AIAN Cost Share	Tier 2 - Generic	—	—	—	None
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Chronic Care CKM \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 2 - Generic	—	—	—	None

UnitedHealthcare

51 plans

Source: PDF · Formulary date: Sep 23, 2026 · Checked: 6 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) via thyroid (USP)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via Niva Thyroid	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals)	Tier 4 - Non-Preferred	—	—	—	None