azelastine

0.15% — Drops

Also known as: Optivar Astepro Astelin

Coverage by Insurer

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

Ambetter (Centene)

34 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 3 hours, 20 minutes ago

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

Cigna

20 plans

Source: PDF · Formulary date: Oct 7, 2026 · Checked: 3 hours, 20 minutes ago

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

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 3 hours, 20 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	✓	—	ST