ascorbic acid

4700 MG — Chewable Tablet

Coverage by Insurer

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

Ambetter (Centene)

29 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 22 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Standard Expanded Bronze with Atrium Health	Tier 2 - Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options	Tier 2 - Generic	—	—	—	None
Everyday Bronze	Tier 2 - Generic	—	—	—	None
Elite Bronze	Tier 2 - Generic	—	—	—	None
Clear Silver with $0 Insulin Options	Tier 2 - Generic	—	—	—	None
Standard Expanded Bronze	Tier 2 - Generic	—	—	—	None
Standard Silver	Tier 2 - Generic	—	—	—	None
Standard Gold	Tier 2 - Generic	—	—	—	None
Everyday Bronze with Atrium Health	Tier 2 - Generic	—	—	—	None
Elite Bronze with Atrium Health	Tier 2 - Generic	—	—	—	None
Focused Silver with Atrium Health	Tier 2 - Generic	—	—	—	None
Complete Gold with Atrium Health	Tier 2 - Generic	—	—	—	None
Standard Silver with Atrium Health	Tier 2 - Generic	—	—	—	None
Standard Gold with Atrium Health	Tier 2 - Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Complete Gold + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Everyday Bronze + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Elite Bronze + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Everyday Bronze with Atrium Health + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Elite Bronze with Atrium Health + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Standard Expanded Bronze + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Standard Silver + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Standard Gold + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Standard Silver with Atrium Health + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Standard Gold with Atrium Health + Vision + Adult Dental	Tier 2 - Generic	—	—	—	None
Complete Gold	Tier 2 - Generic	—	—	—	None

AmeriHealth Caritas NC

10 plans

Source: CMS QHP JSON · Checked: 22 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas Next Bronze Essential + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Silver Essential + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Silver Premier + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Bronze Premier + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Gold Signature + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Gold Premier + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Silver Signature + No Referrals	Tier 2 - Generic	✓	—	—	PA
AmeriHealth Caritas Next Bronze Signature + No Referrals	Tier 2 - Generic	✓	—	—	PA

Blue Cross Blue Shield Federal

4 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 22 hours, 37 minutes ago

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

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 22 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Local 2026 via Moviprep	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Moviprep	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Moviprep	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Value 2026 via Moviprep	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Care 2026 via Moviprep	Tier 2 - Medium Cost Generic/Brand	—	—	—	None

Medicare Part D

45 plans

Source: CMS QHP JSON · Formulary date: Jun 10, 2026 · Checked: 22 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Wellcare Dual Access (HMO-POS D-SNP) via Plenvu	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Dual Liberty Open (PPO D-SNP) via Plenvu	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Dual Reserve (HMO-POS D-SNP) via Plenvu	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Dual Liberty (HMO-POS D-SNP) via Plenvu	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Assist Open (PPO) via Plenvu	Tier 3 - Preferred Brand	—	—	—	None
Wellcare Simple (HMO-POS) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Dual (HMO D-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Value Plus (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Prime (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature Care (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Full Dual Care (HMO D-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Enhanced (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Enhanced (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Enhanced (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature Extra (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature Giveback (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Signature (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Chronic Care (HMO C-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Aetna Medicare Chronic Care Value (HMO C-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED DUAL FULL 013 NC (HMO D-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED DUAL 009 NC (HMO D-SNP) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CORE 001 NC (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED GIVEBACK 002 NC (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED GIVEBACK 012 NC (HMO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE 001 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE GIVEBACK 002 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE 003 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE GIVEBACK 004 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE 005 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE GIVEBACK 006 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE 008 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
DEVOTED CHOICE GIVEBACK 009 NC (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Wellcare Simple Open (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None
Wellcare Giveback Open (PPO) via Plenvu	Tier 4 - Non-Preferred	—	—	—	None

NC State Health Plan

6 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 22 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Plenvu	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Plenvu	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Plenvu	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Moviprep	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Moviprep	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Moviprep	Not Covered	—	—	—	None

Oscar Health

56 plans

Source: CMS QHP JSON · Checked: 22 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Bronze Simple Diabetes \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Simple Chronic Care CKM \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Classic \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Classic \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Secure via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Classic via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver	Tier 2 - Generic	—	—	—	None
Gold Classic Standard \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Classic Standard \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Gold Classic Standard via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes	Tier 2 - Generic	—	—	—	None
Secure \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Secure \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard	Tier 2 - Generic	—	—	—	None
Silver Classic Standard	Tier 2 - Generic	—	—	—	None
Gold Classic Standard	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Gold Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
AIAN Cost Share \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
AIAN Cost Share via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Classic	Tier 2 - Generic	—	—	—	None
Secure	Tier 2 - Generic	—	—	—	None
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Silver Simple Chronic Care CKM \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700	Tier 2 - Generic	—	—	—	None
Silver Classic Standard via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 \| with Atrium Health via MVC-Fluoride	Tier 2 - Generic	—	—	—	None
AIAN Cost Share	Tier 3 - Preferred Brand	—	—	✓	QL
AIAN Cost Share \| with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Silver Simple Chronic Care CKM \| with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Bronze Simple Diabetes \| with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Bronze Simple Chronic Care CKM \| with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL

UnitedHealthcare

13 plans

Source: PDF · Formulary date: Jun 23, 2026 · Checked: 22 hours, 37 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UHC Bronze Standard (No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Bronze Standard+ Dental + Vision (No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Silver Standard (No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL
UHC Gold Standard (No Referrals)	Tier 4 - Non-Preferred	—	—	✓	QL