Ciprofloxacin-Fluocinolone

Drops

Also known as: Otovel

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 of NC

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 35 minutes ago

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

NC Medicaid PDL

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 35 minutes ago

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

UnitedHealthcare

17 plans

Source: PDF · Formulary date: Sep 23, 2026 · Checked: 12 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) via Otovel	Tier 4 - Non-Preferred	—	—	—	None