Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Cigna
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Connect Bronze 7000 HSA Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Bronze 6500 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Bronze 5500 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver 5000 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver 3600 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver 3000 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Bronze CMS Standard
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver CMS Standard
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Gold CMS Standard
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect myDiabetesCare Bronze
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect myDiabetesCare Silver
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Gold 1500 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Bronze RD 5000 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Bronze RD 6000 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Bronze RD CMS Standard
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver RD 3500 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver RD 5000 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver RD CMS Standard
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Silver RD 2200 Indiv Med Deductible
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
|
Connect Gold RD CMS Standard
via Clindacin Etz |
Tier 2 - Generic | — | — | — | None |
TRICARE
2 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
TRICARE Uniform Formulary 2026
via Clindacin Etz |
Tier 1 - Generic Formulary | — | ✓ | — | ST Step therapy on 1 of 2 NDCs: CLINDAGEL,CLINDACIN ETZ/PAC,NEUAC,ONEXTON, WO 3 DIFF GEN ACNE DRUGS IN LAST 180D REQ PA |
|
TRICARE Uniform Formulary 2026
via Clindacin Pac |
Tier 3 - Non-Formulary | — | ✓ | — | ST Step therapy: CLINDAGEL,CLINDACIN ETZ/PAC,NEUAC,ONEXTON, WO 3 DIFF GEN ACNE DRUGS IN LAST 180D REQ PA |