Ciprofloxacin-Fluocinolone

Drops

Also known as: Otovel

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

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 7 hours, 57 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Care 2026 via Otovel	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Otovel	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Otovel	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Otovel	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Otovel	Tier 4 - Higher Cost Brand	—	—	—	None

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 7 hours, 57 minutes ago

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

2 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 7 hours, 57 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026	Tier 4 - Higher Cost	—	—	—	None
UnitedHealthcare NC Individual & Family 2026 via Otovel	Tier 4 - Higher Cost	—	—	—	None