calcipotriene/betamethasone

0.005-.064 — Suspension

Also known as: ENSTILAR TACLONEX CALCIPOTRIENE-BETAMETHASONE WYNZORA Calcipotriene-betamethasone

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

1 plan

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 5 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via Wynzora	Tier 3 - Non-Preferred Brand	✓	—	—	PA

1 plan

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 5 hours, 34 minutes ago

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

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 5 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 via Taclonex	Tier 3 - Non-Preferred Brand	✓	—	—	PA
NC State Health Plan - 80/20 Plus PPO 2026 via Taclonex	Tier 3 - Non-Preferred Brand	✓	—	—	PA
NC State Health Plan - HDHP 2026 via Taclonex	Tier 3 - Non-Preferred Brand	✓	—	—	PA

3 plans

Source: Excel (XLSX) · Formulary date: Oct 29, 2026 · Checked: 5 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA PA on 8 of 16 NDCs: PA DRUGS, DOD PA REQUIRED
TRICARE Uniform Formulary 2026 via Taclonex	Tier 3 - Non-Formulary	✓	—	—	PA PA on 1 of 3 NDCs: PA DRUGS, DOD PA REQUIRED
TRICARE Uniform Formulary 2026 via Wynzora	Tier 3 - Non-Formulary	—	—	—	None