atorvastatin calcium

10 mg, 20 mg, 20 mg/5 mL (4 mg/mL), 40 mg, 80 mg — Tablet

ANTIHYPERLIPIDEMICS

Also known as: atorvastatin calcium oral atorvastatin calcium tabs 10mg, 20mg atorvastatin calcium tabs 40mg, 80mg atorvastatin calcium tab 10 mg (base equivalent), 20 mg (base equivalent), 40 mg (base equivalent), 80 mg (base equivalent) atorvastatin calcium tabs 10mg, 20mg, 40mg, 80mg LIPITOR ATORVALIQ Atorvastatin Calcium Oral Tablet
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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.
Source: CMS QHP JSON  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026 Tier 1 - Generic — — — NCTM None
BCBS Federal Focus 2026 Tier 1 - Generic — — — NCTM None
BCBS Federal Standard Option 2026 Tier 1 - Generic — — — NCTM None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Dual Complete NC-D001 (HMO-POS D-SNP) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0008 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0009 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0011 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0012 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) Tier 1 - Preferred Generic — — — None
UHC Dual Complete NC-V001 (HMO-POS D-SNP) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) Tier 1 - Preferred Generic — — — None
UHC Dual Complete NC-S3 (HMO-POS D-SNP) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-24 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-26 (HMO-POS) Tier 1 - Preferred Generic — — — None
Erickson Advantage Signature (HMO-POS) Tier 1 - Preferred Generic — — — None
Erickson Advantage Guardian (HMO-POS I-SNP) Tier 1 - Preferred Generic — — — None
Erickson Advantage Freedom (HMO-POS) Tier 1 - Preferred Generic — — — None
Erickson Advantage Liberty (HMO-POS) Tier 1 - Preferred Generic — — — None
UHC Complete Care NC-25 (HMO-POS C-SNP) Tier 1 - Preferred Generic — — — None
UHC Complete Care NC-27 (HMO-POS C-SNP) Tier 1 - Preferred Generic — — — None
UHC Complete Care NC-28 (HMO-POS C-SNP) Tier 1 - Preferred Generic — — — None
Erickson Advantage Champion (HMO-POS C-SNP) Tier 1 - Preferred Generic — — — None
Aetna Medicare Signature (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Dual (HMO D-SNP) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Value Plus (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Prime (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature Care (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Enhanced (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Enhanced (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Enhanced (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature Extra (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature Giveback (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Chronic Care (HMO C-SNP) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
HealthSpring True Choice (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
HealthSpring TotalCare (HMO D-SNP) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
HealthSpring TotalCare Plus (HMO D-SNP) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
HealthSpring Preferred (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
HealthSpring Preferred Select (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
HealthSpring Preferred Savings (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
HealthSpring Preferred Plus (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CORE 001 NC (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED GIVEBACK 002 NC (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED GIVEBACK 012 NC (HMO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE 001 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 002 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE 003 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 004 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE 005 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 006 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE 008 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 009 NC (PPO) Tier 1 - Preferred Generic — — ✓ 30 per 30 days QL
NHC Advantage (HMO I-SNP) Tier 1 - Preferred Generic — — — None
PruittHealth Premier (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Liberty Medicare Dual Plan (HMO D-SNP) Tier 1 - Preferred Generic — — — None
Liberty Medicare Advantage (HMO C-SNP) Tier 1 - Preferred Generic — — — None
HumanaChoice H5525-083 (PPO) Tier 1 - Preferred Generic — — — None
UHC Nursing Home Plan NC-F001 (PPO I-SNP) Tier 1 - Preferred Generic — — — None
UHC Dual Complete NC-S001 (PPO D-SNP) Tier 1 - Preferred Generic — — — None
UHC Dual Complete NC-S2 (PPO D-SNP) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage Access from UHC NC-23 (PPO) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0001 (PPO) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0004 (PPO) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0016 (PPO) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0017 (PPO) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0019 (PPO) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0022 (HMO-POS) Tier 1 - Preferred Generic — — — None
AARP Medicare Advantage from UHC NC-0007 (HMO-POS) Tier 1 - Preferred Generic — — — None
HealthTeam Advantage Plan I (PPO) Tier 1 - Preferred Generic — — — None
HealthTeam Advantage Plan II (PPO) Tier 1 - Preferred Generic — — — None
HealthTeam Advantage Vitality Plan (PPO) Tier 1 - Preferred Generic — — — None
Troy Medicare (HMO) Tier 1 - Preferred Generic — — — None
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Community Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Essential Plan (HMO I-SNP) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H1036-137 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H1036-233 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Dual Select H1036-307 (HMO D-SNP) Tier 1 - Preferred Generic — — — None
Humana Gold Plus Giveback H1036-318 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H1036-335 (HMO-POS) Tier 1 - Preferred Generic — — — None
HumanaChoice Giveback H5216-017 (PPO) Tier 1 - Preferred Generic — — — None
HumanaChoice H5216-211 (PPO) Tier 1 - Preferred Generic — — — None
Humana Full Access H5525-034 (PPO) Tier 1 - Preferred Generic — — — None
HumanaChoice Giveback H5525-035 (PPO) Tier 1 - Preferred Generic — — — None
HumanaChoice SNP-DE H5525-036 (PPO D-SNP) Tier 1 - Preferred Generic — — — None
HumanaChoice H5525-049 (PPO) Tier 1 - Preferred Generic — — — None
HumanaChoice H5525-050 (PPO) Tier 1 - Preferred Generic — — — None
HumanaChoice H5525-070 (PPO) Tier 1 - Preferred Generic — — — None
Humana Dual Select H5525-072 (PPO D-SNP) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H6622-025 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H6622-026 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Dual Select H6622-027 (HMO-POS D-SNP) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H6622-057 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H6622-060 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Gold Plus H6622-061 (HMO-POS) Tier 1 - Preferred Generic — — — None
Humana Gold Choice H8145-004 (PFFS) Tier 1 - Preferred Generic — — — None
Senior Care (HMO I-SNP) Tier 1 - Preferred Generic — — — None
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Tier 6 - Specialty Plus — — — None
DEVOTED DUAL FULL 013 NC (HMO D-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Wellcare Simple Open (PPO) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Wellcare Assist Open (PPO) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Wellcare Dual Access (HMO-POS D-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Wellcare Dual Liberty (HMO-POS D-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Wellcare Dual Reserve (HMO-POS D-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Wellcare Simple (HMO-POS) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Wellcare Giveback Open (PPO) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Blue Medicare PPO Enhanced (PPO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Blue Medicare Essential Plus (HMO-POS) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Blue Medicare Enhanced (HMO-POS) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Blue Medicare Choice (HMO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Blue Medicare Essential (HMO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Experience Health Medicare Advantage (HMO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Alignment Health Platinum (HMO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Alignment Health NC Duals (HMO-POS D-SNP) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Alignment Health smartHMO (HMO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Alignment Health Platinum Select (HMO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
Alignment Health AVA (PPO) Tier 6 - Specialty Plus — — ✓ 45 per 30 days QL
DEVOTED DUAL 009 NC (HMO D-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) Tier 6 - Specialty Plus — — — None
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 6 - Specialty Plus — — — None
Wellcare Dual Liberty Open (PPO D-SNP) Tier 6 - Specialty Plus — — ✓ 30 per 30 days QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Atorvaliq 		Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 7 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
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary ✓ — — PA
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