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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.
Cigna
1 planNC Medicaid PDL
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC Medicaid Preferred Drug List 2026
via Tramadol |
Non-Preferred | ✓ | — | — | PA |
|
NC Medicaid Preferred Drug List 2026
via Seglentis |
Non-Preferred | ✓ | — | — | PA |
| NC Medicaid Preferred Drug List 2026 | Non-Preferred | ✓ | — | — | PA |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via Seglentis |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Seglentis |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Seglentis |
Not Covered | — | — | — | None |