ciprofloxacin hcl

100 mg, 250 mg, 500 mg, 750 mg — Tablet

CEPHALOSPORINS

Also known as: ciprofloxacin hcl oral ciprofloxacin hcl tabs 250mg, 500mg, 750mg ciprofloxacin hcl tab 750 mg ciprofloxacin hcl tab 250 mg (base equiv), 500 mg (base equiv) CIPRO

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026 Tier 1 - Generic None
BCBS Federal Focus 2026 Tier 1 - Generic None
BCBS Federal Standard Option 2026 Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026
via Base Equiv
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Care 2026
via Base Equiv
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Value 2026
via Base Equiv
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Advantage 2026
via Base Equiv
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Base Equiv
Tier 2 - Medium Cost Generic/Brand QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 22 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 22 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 2 - Lower Cost None
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