ciclopirox treatment

Kit

Also known as: Ciclodan

Coverage by Insurer

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

Ambetter (Centene)

29 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 19 hours, 18 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Standard Gold + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Complete Gold via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Elite Bronze via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Silver via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Gold via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Focused Silver with Atrium Health via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL
Standard Silver + Vision + Adult Dental via Ciclodan	Tier 2 - Generic	—	—	✓	QL

Blue Cross Blue Shield Federal

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 19 hours, 18 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Basic Option 2026 via Ciclodan	Tier 1 - Generic	—	—	✓	QL
BCBS Federal Focus 2026 via Ciclodan	Tier 1 - Generic	—	—	✓	QL
BCBS Federal Standard Option 2026 via Ciclodan	Tier 1 - Generic	—	—	✓	QL

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 19 hours, 18 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 19 hours, 18 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Ciclodan	Tier 1 - Preferred Generic	✓	—	—	PA
NC State Health Plan - 80/20 Plus PPO 2026 via Ciclodan	Tier 1 - Preferred Generic	✓	—	—	PA
NC State Health Plan - 70/30 Standard PPO 2026 via Ciclodan	Tier 1 - Preferred Generic	✓	—	—	PA

UnitedHealthcare

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 19 hours, 18 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026 via Ciclodan	Tier 2 - Lower Cost	—	—	—	None