azithromycin powder packet / suspension

Tablet

Also known as: Zithromax

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

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 28 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026 via Zithromax	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Zithromax	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Local 2026 via Zithromax	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Care 2026 via Zithromax	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Value 2026 via Zithromax	Tier 1 - Lowest Cost Generic	—	—	—	None

3 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 4 hours, 28 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Troy Medicare (HMO) via Zithromax	Tier 4 - Non-Preferred	—	—	—	None
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) via Zithromax	Tier 4 - Non-Preferred	—	—	—	None
AmeriHealth Caritas VIP Care (HMO D-SNP) via Zithromax	Tier 4 - Non-Preferred	—	—	—	None

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 28 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	—	—	None