Cetirizine
Generic: Zerviate
Tablet
Histamine-1 Receptor Antagonist
Also known as:
Cetirizine 1 Mg/Ml Oral Solution
Cetirizine 1 Mg/Ml Syrup
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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.
Blue Cross Blue Shield Federal
2 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Standard Option 2026
via Zerviate |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Basic Option 2026
via Zerviate |
Tier 3 - Non-Preferred Brand | — | — | — | None |
Cigna
1 planMedicare Part D
37 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Aetna Medicare Signature (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Value Plus (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Prime (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature Care (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Full Dual Care (HMO D-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Enhanced (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Enhanced (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Enhanced (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature Extra (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature Giveback (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Chronic Care (HMO C-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Chronic Care Value (HMO C-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED DUAL FULL 013 NC (HMO D-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED DUAL 009 NC (HMO D-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CORE 001 NC (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED GIVEBACK 002 NC (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED GIVEBACK 012 NC (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE GIVEBACK 009 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (HMO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Dual (HMO D-SNP)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE GIVEBACK 004 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE 005 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE GIVEBACK 006 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE 008 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE 001 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE GIVEBACK 002 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CHOICE 003 NC (PPO)
via Zerviate |
Tier 4 - Non-Preferred | — | — | — | None |
NC Medicaid PDL
1 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via Zerviate |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Zerviate |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Zerviate |
Not Covered | — | — | — | None |