Compare Prices
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
UnitedHealthcare
34 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) | Tier 0 - $0 Preventive | — | — | — | None |
| UHC Gold Standard (No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Standard (No Referrals) | Tier 0 - $0 Preventive | — | — | — | None |
| UHC Bronze Standard (No Referrals) | Tier 0 - $0 Preventive | — | — | — | None |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 0 - $0 Preventive | — | — | — | None |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | — | None |
| UHC Bronze Standard+ Dental + Vision (No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 54332NC0030042 | Tier 0 - $0 Preventive | — | — | — | None |
| 54332NC0060008 | Tier 0 - $0 Preventive | — | — | — | None |
| 54332NC0060009 | Tier 0 - $0 Preventive | — | — | — | None |
| 54332NC0060010 | Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Gold Standard (No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Silver Standard (No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Bronze Standard (No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Bronze Standard+ Dental + Vision (No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
54332NC0030042
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
54332NC0060008
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
54332NC0060009
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |
|
54332NC0060010
via magnesium citrate |
Tier 0 - $0 Preventive | — | — | — | None |