cetirizine hydrochloride

10 MG — Tablet

Coverage by Insurer

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

Ambetter (Centene)

170 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 20 hours, 47 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Complete Gold	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver with Atrium Health	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver with Atrium Health via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via Zyrtec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver with Atrium Health via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via Wal-Zyr	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver with Atrium Health via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via Aller-Tec	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Enhanced Asthma/COPD Care Silver $0 Rx Options via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Everyday Bronze via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Clear Silver with $0 Insulin Options via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Expanded Bronze via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Silver via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Gold via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Everyday Bronze with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Focused Silver with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Complete Gold with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Expanded Bronze with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Silver with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Gold with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Complete Gold + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Everyday Bronze + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Everyday Bronze with Atrium Health + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze with Atrium Health + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Focused Silver with Atrium Health + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Complete Gold with Atrium Health + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Expanded Bronze + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Silver + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Gold + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Silver with Atrium Health + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Signature Gold with Atrium Health + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Enhanced CHF Heart Care Silver $0 Rx Options via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Streamlined Silver with Atrium Health via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Streamlined Silver via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Clear Silver with $0 Insulin Options + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via Quzyttir	Tier 4 - Non-Preferred	✓	—	—	PA