cholecalciferol

0.01 MG — Tablet

NEUROMUSCULAR AGENTS

Also known as: cholecalciferol cap 1.25 mg
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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: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 19 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Gold with Atrium Health + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Standard Silver + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Standard Gold + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Standard Silver with Atrium Health + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Focused Silver with Atrium Health + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Complete Gold
via Decara 		Tier 1 - Preferred Generic — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Decara 		Tier 1 - Preferred Generic — — — None
Everyday Bronze
via Decara 		Tier 1 - Preferred Generic — — — None
Elite Bronze
via Decara 		Tier 1 - Preferred Generic — — — None
Clear Silver with $0 Insulin Options
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Silver
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Gold
via Decara 		Tier 1 - Preferred Generic — — — None
Everyday Bronze with Atrium Health
via Decara 		Tier 1 - Preferred Generic — — — None
Elite Bronze with Atrium Health
via Decara 		Tier 1 - Preferred Generic — — — None
Focused Silver with Atrium Health
via Decara 		Tier 1 - Preferred Generic — — — None
Complete Gold with Atrium Health
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze with Atrium Health
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Silver with Atrium Health
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Gold with Atrium Health
via Decara 		Tier 1 - Preferred Generic — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Complete Gold + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Everyday Bronze + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Elite Bronze + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Silver + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Gold + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Silver with Atrium Health + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Gold with Atrium Health + Vision + Adult Dental
via Decara 		Tier 1 - Preferred Generic — — — None
Standard Silver with Atrium Health Tier 1 - Preferred Generic — — — None
Standard Gold with Atrium Health Tier 1 - Preferred Generic — — — None
Complete Gold Tier 1 - Preferred Generic — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 1 - Preferred Generic — — — None
Everyday Bronze Tier 1 - Preferred Generic — — — None
Elite Bronze Tier 1 - Preferred Generic — — — None
Clear Silver with $0 Insulin Options Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze Tier 1 - Preferred Generic — — — None
Standard Silver Tier 1 - Preferred Generic — — — None
Standard Gold Tier 1 - Preferred Generic — — — None
Everyday Bronze with Atrium Health Tier 1 - Preferred Generic — — — None
Elite Bronze with Atrium Health Tier 1 - Preferred Generic — — — None
Focused Silver with Atrium Health Tier 1 - Preferred Generic — — — None
Complete Gold with Atrium Health Tier 1 - Preferred Generic — — — None
Standard Expanded Bronze with Atrium Health Tier 1 - Preferred Generic — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Complete Gold + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Everyday Bronze + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Elite Bronze + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Focused Silver with Atrium Health + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Complete Gold with Atrium Health + Vision + Adult Dental Tier 1 - Preferred Generic — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 19 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026
via 50000 Unit 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Local 2026
via 50000 Unit 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Care 2026
via 50000 Unit 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Value 2026
via 50000 Unit 		Tier 1 - Lowest Cost Generic — — — None
BCBSNC Blue Advantage 2026
via 50000 Unit 		Tier 1 - Lowest Cost Generic — — — None
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