Chenodal

Generic: chenodeoxycholate

250 MG — Tablet

Bile Acid Salts

Also known as: chenodeoxycholate

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 6 hours, 3 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 5 - Specialty PA
UHC Nursing Home Plan NC-F001 (PPO I-SNP) Tier 5 - Specialty PA
UHC Dual Complete NC-S001 (PPO D-SNP) Tier 5 - Specialty PA
UHC Dual Complete NC-S2 (PPO D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage Access from UHC NC-23 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0001 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0004 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0016 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0017 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0019 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0022 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0007 (HMO-POS) Tier 5 - Specialty PA
UHC Dual Complete NC-D001 (HMO-POS D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0008 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0009 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0011 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0012 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) Tier 5 - Specialty PA
UHC Dual Complete NC-V001 (HMO-POS D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) Tier 5 - Specialty PA
UHC Dual Complete NC-S3 (HMO-POS D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-24 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-26 (HMO-POS) Tier 5 - Specialty PA
Erickson Advantage Signature (HMO-POS) Tier 5 - Specialty PA
Erickson Advantage Guardian (HMO-POS I-SNP) Tier 5 - Specialty PA
Erickson Advantage Freedom (HMO-POS) Tier 5 - Specialty PA
Erickson Advantage Liberty (HMO-POS) Tier 5 - Specialty PA
UHC Complete Care NC-25 (HMO-POS C-SNP) Tier 5 - Specialty PA
UHC Complete Care NC-27 (HMO-POS C-SNP) Tier 5 - Specialty PA
UHC Complete Care NC-28 (HMO-POS C-SNP) Tier 5 - Specialty PA
Erickson Advantage Champion (HMO-POS C-SNP) Tier 5 - Specialty PA
Blue Medicare PPO Enhanced (PPO) Tier 5 - Specialty PA
Blue Medicare Essential Plus (HMO-POS) Tier 5 - Specialty PA
Blue Medicare Enhanced (HMO-POS) Tier 5 - Specialty PA
Blue Medicare Choice (HMO) Tier 5 - Specialty PA
Blue Medicare Essential (HMO) Tier 5 - Specialty PA
Experience Health Medicare Advantage (HMO) Tier 5 - Specialty PA
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 5 - Specialty PA
Alignment Health Platinum (HMO) Tier 5 - Specialty PA
Alignment Health NC Duals (HMO-POS D-SNP) Tier 5 - Specialty PA
Alignment Health smartHMO (HMO) Tier 5 - Specialty PA
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 5 - Specialty PA
Alignment Health Platinum Select (HMO) Tier 5 - Specialty PA
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 5 - Specialty PA
Alignment Health AVA (PPO) Tier 5 - Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 6 hours, 3 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred ST
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