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 Gold with Atrium Health + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Elite Bronze
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Clear Silver with $0 Insulin Options
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Expanded Bronze
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Silver
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Gold
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Everyday Bronze with Atrium Health
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Elite Bronze with Atrium Health
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Focused Silver with Atrium Health
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Complete Gold with Atrium Health
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Expanded Bronze with Atrium Health
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Silver with Atrium Health
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Gold with Atrium Health
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Complete Gold + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Everyday Bronze + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Elite Bronze + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Expanded Bronze + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Silver + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Gold + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Complete Gold
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
|
Everyday Bronze
via clindamycin phosphate |
Tier 2 - Generic | — | ✓ | — | ST |
Blue Cross Blue Shield of NC
15 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Advantage 2026
via Twice-Daily |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Twice-Daily |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Twice-Daily |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Twice-Daily |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Cleocin-T |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Cleocin-T |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Cleocin-T |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Cleocin-T |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Cleocin-T |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via clindamycin phosphate |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via clindamycin phosphate |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via clindamycin phosphate |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via clindamycin phosphate |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via clindamycin phosphate |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Twice-Daily |
Tier 2 - Medium Cost Generic/Brand | — | — | — | None |
NC Medicaid PDL
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC Medicaid Preferred Drug List 2026
via clindamycin phosphate |
Non-Preferred | — | — | — | None |
|
NC Medicaid Preferred Drug List 2026
via Evoclin |
Non-Preferred | — | — | — | None |
| NC Medicaid Preferred Drug List 2026 | Non-Preferred | — | — | — | None |
NC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via clindamycin phosphate |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via clindamycin phosphate |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via clindamycin phosphate |
Tier 1 - Preferred Generic | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 3 - Non-Preferred Brand | ✓ | ✓ | — | PA | ST |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 3 - Non-Preferred Brand | ✓ | ✓ | — | PA | ST |
| NC State Health Plan - HDHP 2026 | Tier 3 - Non-Preferred Brand | ✓ | ✓ | — | PA | ST |