Ciprofloxacin-Hydrocortisone

Suspension

Antibiotics

Also known as: Cipro HC
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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.
Source: CMS QHP JSON  ·  Checked: 2 hours, 10 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Essential + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 2 hours, 10 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026
via Cipro HC 		Tier 2 - Preferred Brand — — — None
BCBS Federal Basic Option 2026
via Cipro HC 		Tier 3 - Non-Preferred Brand — — — None
BCBS Federal Standard Option 2026
via Cipro HC 		Tier 3 - Non-Preferred Brand — — — None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 2 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Erickson Advantage Signature (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Erickson Advantage Guardian (HMO-POS I-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Erickson Advantage Freedom (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Erickson Advantage Liberty (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Complete Care NC-25 (HMO-POS C-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Complete Care NC-27 (HMO-POS C-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Complete Care NC-28 (HMO-POS C-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Erickson Advantage Champion (HMO-POS C-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature (HMO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Dual (HMO D-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature (HMO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Value Plus (HMO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Prime (HMO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature Care (HMO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Full Dual Care (HMO D-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Enhanced (HMO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Enhanced (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Enhanced (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature Extra (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature Giveback (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Signature (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Chronic Care (HMO C-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Aetna Medicare Chronic Care Value (HMO C-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Dual Complete NC-S001 (PPO D-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Dual Complete NC-S2 (PPO D-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0001 (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0004 (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0016 (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0017 (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0019 (PPO)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 2 hours, 2 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 Cipro HC 		Non-Preferred — — — None
Source: CMS QHP JSON  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Simple PCP Saver
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Gold Elite Saver Plus
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Simple Diabetes
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Secure | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Classic 4700 | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Classic | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Simple Diabetes | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Simple PCP Saver | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Gold Elite Saver Plus | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Simple Diabetes | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Secure
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AIAN Cost Share
via Cipro HC 		Tier 4 - Non-Preferred — — — None
AIAN Cost Share | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Classic
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Elite + PCP Saver Plus
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Gold Classic Standard | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Classic Standard | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Classic Standard | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Gold Classic Standard
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Classic Standard
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Classic Standard
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Cipro HC 		Tier 4 - Non-Preferred — — — None
Bronze Classic 4700
via Cipro HC 		Tier 4 - Non-Preferred — — — None
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