Co Monitor

Generic: respiratory therapy supplies - devices

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

Blue Cross Blue Shield of NC

85 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 53 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026 via Adult Mask	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Adult Mask	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Adult Mask	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Adult Mask	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Adult Mask	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Aerobika	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Aerobika	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Aerobika	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Aerobika	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Aerobika	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow Black/Red	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow Black/Red	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow Black/Red	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow Black/Red	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow Black/Red	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
BCBSNC Blue Value 2026	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow Black/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow Black/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow Black/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow Black/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow Black/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow Black/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow Black/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow Black/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow Black/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow Black/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow White/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow White/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow White/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow White/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow White/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow White/Green	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow White/Green	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow White/Green	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow White/Green	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow White/Green	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow White/Pink	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow White/Pink	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow White/Pink	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow White/Pink	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow White/Pink	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow White/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow White/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow White/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow White/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow White/White	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow White/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow White/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow White/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow White/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow White/Yellow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow Black/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow Black/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow Black/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow Black/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow Black/Blue	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Easy Flow Black/Orange	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Easy Flow Black/Orange	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Easy Flow Black/Orange	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Easy Flow Black/Orange	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Easy Flow Black/Orange	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via In-Check Dial Inspiratory	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via In-Check Dial Inspiratory	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via In-Check Dial Inspiratory	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via In-Check Dial Inspiratory	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via In-Check Dial Inspiratory	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via In-Check Inspiratory Flow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via In-Check Inspiratory Flow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via In-Check Inspiratory Flow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via In-Check Inspiratory Flow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via In-Check Inspiratory Flow	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Nebulizer Cup/Tubing	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Nebulizer Cup/Tubing	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Nebulizer Cup/Tubing	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Nebulizer Cup/Tubing	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Nebulizer Cup/Tubing	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Pure Comfort 3-Ball Breat	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Pure Comfort 3-Ball Breat	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Pure Comfort 3-Ball Breat	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Pure Comfort 3-Ball Breat	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Pure Comfort 3-Ball Breat	Tier 4 - Higher Cost Brand	—	—	—	None