ciprofloxacin hcl otic
0.2 % — Solution
Also known as:
ciprofloxacin hcl otic soln 0.2% (base equivalent)
Ciprofloxacin HCl Otic Solution
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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.
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Gold Premier + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Silver Essential + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Tier 2 - Generic | — | ✓ | — | ST |
Medicare Part D
19 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Longevity Health Plan (HMO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Aetna Medicare Signature Extra (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature Giveback (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Dual (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Value Plus (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Prime (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature Care (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Enhanced (HMO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 3 - Preferred Brand | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 3 - Preferred Brand | — | — | — | None |