colesevelam hcl

3.75 gram, 625 mg — Tablet

ANTIHYPERLIPIDEMICS

Also known as: colesevelam hcl tabs 625mg colesevelam hcl tab 625 mg WELCHOL

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 3 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026
via Welchol
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Advantage 2026
via Welchol
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026
via Welchol
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026
via Welchol
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Care 2026
via Welchol
Tier 2 - Medium Cost Generic/Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 3 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 3 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 3 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 3 - Mid-Range Cost None
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