clemastine fumarate
0.134 MG — Solution
Also known as:
clemastine fumarate oral tablet
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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.
Ambetter (Centene)
29 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Standard Silver | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Elite Bronze with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Focused Silver with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Complete Gold with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Standard Expanded Bronze with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Standard Silver with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Standard Gold with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Complete Gold + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Elite Bronze + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Gold + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 2 - Generic | — | — | — | None |
| Complete Gold | Tier 2 - Generic | — | — | — | None |
| Standard Silver + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Gold | Tier 2 - Generic | — | — | — | None |
| Standard Expanded Bronze | Tier 2 - Generic | — | — | — | None |
| Clear Silver with $0 Insulin Options | Tier 2 - Generic | — | — | — | None |
| Elite Bronze | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze | Tier 2 - Generic | — | — | — | None |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Value 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Advantage 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Local 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Care 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
Medicare Part D
27 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Troy Medicare (HMO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Dual (HMO D-SNP) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature (HMO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Value Plus (HMO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Prime (HMO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature Care (HMO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Enhanced (HMO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Enhanced (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Enhanced (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature Extra (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature Giveback (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Signature (PPO) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 2 - Generic | ✓ | — | — | PA |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 2 - Generic | ✓ | — | — | PA |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Tier 2 - Generic | — | — | — | None |
| Alignment Health Platinum (HMO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Alignment Health AVA (PPO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Alignment Health Platinum Select (HMO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Alignment Health smartHMO (HMO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Alignment Health NC Duals (HMO-POS D-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |