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Inhibitors

Also known as: Rytary
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 17 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via Rytary 		Tier 3 - Non-Preferred Brand — — — None
BCBS Federal Standard Option 2026
via Rytary 		Tier 3 - Non-Preferred Brand — — — None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 17 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via Rytary 		Tier 1 - Preferred Generic — ✓ — ST
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via Rytary 		Tier 1 - Preferred Generic — ✓ — ST
Provider Partners North Carolina Community Plan (HMO I-SNP)
via Rytary 		Tier 1 - Preferred Generic — ✓ — ST
HealthSpring TotalCare Plus (HMO D-SNP)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthSpring Preferred Select (HMO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthSpring Preferred Savings (HMO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthSpring Preferred Plus (HMO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthTeam Advantage Vitality Plan (PPO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthSpring True Choice (PPO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthSpring TotalCare (HMO D-SNP)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthSpring Preferred (HMO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
Blue Medicare PPO Enhanced (PPO)
via Rytary 		Tier 4 - Non-Preferred — — — None
Blue Medicare Essential Plus (HMO-POS)
via Rytary 		Tier 4 - Non-Preferred — — — None
Blue Medicare Enhanced (HMO-POS)
via Rytary 		Tier 4 - Non-Preferred — — — None
Blue Medicare Choice (HMO)
via Rytary 		Tier 4 - Non-Preferred — — — None
Blue Medicare Essential (HMO)
via Rytary 		Tier 4 - Non-Preferred — — — None
Experience Health Medicare Advantage (HMO)
via Rytary 		Tier 4 - Non-Preferred — — — None
Healthy Blue + Medicare (HMO-POS D-SNP)
via Rytary 		Tier 4 - Non-Preferred — — — None
Alignment Health Platinum (HMO)
via Rytary 		Tier 4 - Non-Preferred — — — None
Alignment Health NC Duals (HMO-POS D-SNP)
via Rytary 		Tier 4 - Non-Preferred — — — None
Alignment Health smartHMO (HMO)
via Rytary 		Tier 4 - Non-Preferred — — — None
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Rytary 		Tier 4 - Non-Preferred — — — None
Alignment Health Platinum Select (HMO)
via Rytary 		Tier 4 - Non-Preferred — — — None
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Rytary 		Tier 4 - Non-Preferred — — — None
Alignment Health AVA (PPO)
via Rytary 		Tier 4 - Non-Preferred — — — None
HealthTeam Advantage Plan I (PPO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
HealthTeam Advantage Plan II (PPO)
via Rytary 		Tier 4 - Non-Preferred — ✓ — ST
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 17 hours, 30 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 Rytary 		Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 17 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via Rytary 		Tier 2 - Non-Preferred Generic — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Rytary 		Tier 2 - Non-Preferred Generic — — — None
NC State Health Plan - HDHP 2026
via Rytary 		Tier 2 - Non-Preferred Generic — — — None
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