clindamycin phosphate

Generic: Clindagel

300mg/2ml, 600mg/4ml, 900mg/6ml — Gel

DERMATOLOGICALS

Also known as: Evoclin Clindagel clindamycin phosphate soln 300mg/2ml, 600mg/4ml, 900mg/6ml clindamycin phosphate gel 1% clindamycin phosphate lotion 1% clindamycin phosphate soln 1% clindamycin phosphate swab 1% XACIATO CLEOCIN CLINDAGEL clindamycin phosphate soln 300mg/2ml,
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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  ·  Formulary date: Jan 1, 2026  ·  Checked: 3 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold Tier 2 - Generic — ✓ — ST
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Clear Silver with $0 Insulin Options + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Streamlined Silver Tier 2 - Generic — ✓ — ST
Streamlined Silver with Atrium Health Tier 2 - Generic — ✓ — ST
Enhanced CHF Heart Care Silver $0 Rx Options Tier 2 - Generic — ✓ — ST
Signature Silver Tier 2 - Generic — ✓ — ST
Signature Gold Tier 2 - Generic — ✓ — ST
Everyday Bronze with Atrium Health Tier 2 - Generic — ✓ — ST
Elite Bronze with Atrium Health Tier 2 - Generic — ✓ — ST
Focused Silver with Atrium Health Tier 2 - Generic — ✓ — ST
Complete Gold with Atrium Health Tier 2 - Generic — ✓ — ST
Signature Expanded Bronze with Atrium Health Tier 2 - Generic — ✓ — ST
Signature Silver with Atrium Health Tier 2 - Generic — ✓ — ST
Signature Gold with Atrium Health Tier 2 - Generic — ✓ — ST
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Complete Gold + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Everyday Bronze + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Elite Bronze + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Focused Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Complete Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Signature Expanded Bronze + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Signature Silver + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Signature Gold + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Signature Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Signature Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic — ✓ — ST
Enhanced Asthma/COPD Care Silver $0 Rx Options Tier 2 - Generic — ✓ — ST
Everyday Bronze Tier 2 - Generic — ✓ — ST
Elite Bronze Tier 2 - Generic — ✓ — ST
Clear Silver with $0 Insulin Options Tier 2 - Generic — ✓ — ST
Signature Expanded Bronze Tier 2 - Generic — ✓ — ST
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 3 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026
via Cleocin-T 		Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Advantage 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Advantage 2026
via Twice-Daily 		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
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
Source: PDF  ·  Formulary date: Oct 7, 2026  ·  Checked: 3 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Gold 1500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD 6000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver RD 3500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver RD 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver RD 2200 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Gold RD CMS Standard Tier 3 - Preferred Brand — — — None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze 6500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze 5500 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 5000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 3600 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Silver 3000 Indiv Med Deductible Tier 3 - Preferred Brand — — — None
Connect Bronze CMS Standard Tier 3 - Preferred Brand — — — None
Connect Silver CMS Standard Tier 3 - Preferred Brand — — — None
Connect Gold CMS Standard Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Bronze Tier 3 - Preferred Brand — — — None
Connect myDiabetesCare Silver Tier 3 - Preferred Brand — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 3 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Evoclin 		Non-Preferred — — — None
NC Medicaid Preferred Drug List 2026
via Clindagel 		Non-Preferred — — — None
NC Medicaid Preferred Drug List 2026 Non-Preferred — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 3 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic — — — None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic — — — None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Clindagel 		Tier 3 - Non-Preferred Brand ✓ ✓ — PA | ST
NC State Health Plan - HDHP 2026
via Clindagel 		Tier 3 - Non-Preferred Brand ✓ ✓ — PA | ST
NC State Health Plan - 70/30 Standard PPO 2026
via Clindagel 		Tier 3 - Non-Preferred Brand ✓ ✓ — PA | ST
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 3 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary ✓ — — PA
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