bosentan tablet /tablet for

Suspension

Endothelin Receptor Antagonists — Covered for diagnosis of Pulmonary Arterial Hypertension only

Also known as: Tracleer

Coverage by Insurer

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

Ambetter (Centene)

29 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 7 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Complete Gold via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver $0 Rx Options via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Everyday Bronze via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Elite Bronze via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Clear Silver with $0 Insulin Options via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Expanded Bronze via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Silver via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Gold via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Focused Silver with Atrium Health via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Complete Gold with Atrium Health via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Expanded Bronze with Atrium Health via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Silver with Atrium Health via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Gold with Atrium Health via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Complete Gold + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Everyday Bronze + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Elite Bronze + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Focused Silver with Atrium Health + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Complete Gold with Atrium Health + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Expanded Bronze + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Silver + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Gold + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Silver with Atrium Health + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
Signature Gold with Atrium Health + Vision + Adult Dental via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL

Blue Cross Blue Shield Federal

1 plan

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 7 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via Tracleer	Tier 5 - Non-Preferred Specialty	✓	—	—	PA

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 7 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026 via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Local 2026 via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Care 2026 via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Value 2026 via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Home with UNC Health Alliance 2026 via Tracleer	Tier 5 - Specialty	✓	—	✓	PA \| QL

NC Medicaid PDL

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 7 hours, 32 minutes ago

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

NC State Health Plan

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 7 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Tracleer	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Tracleer	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Tracleer	Not Covered	—	—	—	None