Atovaquone-Proguanil

62.5 Mg, 25 Mg — Tablet

Also known as: Atovaquone-Proguanil 62.5 Mg-25 Mg Tablet Atovaquone-Proguanil 250 Mg-100 Mg Tablet

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

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 6 hours, 38 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 1 - Generic	—	—	—	None