azithromycin powder packet / suspension

Tablet

Also known as: Zithromax

Coverage by Insurer

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

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 17 hours, 3 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Value 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 Advantage 2026 via Zithromax	Tier 1 - Lowest Cost Generic	—	—	—	None

Medicare Part D

3 plans

Source: CMS QHP JSON · Formulary date: Jun 10, 2026 · Checked: 17 hours, 3 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

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 17 hours, 3 minutes ago

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

Oscar Health

28 plans

Source: CMS QHP JSON · Checked: 17 hours, 3 minutes ago

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