Coxanto

Generic: oxaprozin

Capsule

Nsaids

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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: 2 hours, 5 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Silver with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Standard Silver
via oxaprozin 		Tier 2 - Generic — — — None
Standard Gold
via oxaprozin 		Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Elite Bronze with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Focused Silver with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Complete Gold with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Standard Expanded Bronze with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Standard Silver with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Standard Gold + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Standard Silver + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Standard Expanded Bronze + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Focused Silver with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Standard Expanded Bronze
via oxaprozin 		Tier 2 - Generic — — — None
Clear Silver with $0 Insulin Options
via oxaprozin 		Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Elite Bronze + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Everyday Bronze + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Elite Bronze
via oxaprozin 		Tier 2 - Generic — — — None
Everyday Bronze
via oxaprozin 		Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via oxaprozin 		Tier 2 - Generic — — — None
Complete Gold
via oxaprozin 		Tier 2 - Generic — — — None
Complete Gold + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Standard Gold with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Standard Gold with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Source: CMS QHP JSON  ·  Checked: 2 hours, 5 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Signature + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Premier + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Gold Signature + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Essential + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Essential + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Bronze Signature + No Referrals
via oxaprozin 		Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 2 hours, 5 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via oxaprozin 		Tier 1 - Generic — — — None
BCBS Federal Standard Option 2026
via oxaprozin 		Tier 1 - Generic — — — None
BCBS Federal Focus 2026
via oxaprozin 		Tier 1 - Generic — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 2 hours ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Daypro 		Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Value 2026
via Daypro 		Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Home with UNC Health Alliance 2026
via Daypro 		Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Local 2026
via Daypro 		Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Care 2026
via Daypro 		Tier 2 - Medium Cost Generic/Brand — — — None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 1 hour, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze RD 6000 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver 3500 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver 4400 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver RD CMS Standard
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver CMS Standard
via oxaprozin 		Tier 2 - Generic — — — None
Connect Bronze 6500 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Bronze RD CMS Standard
via oxaprozin 		Tier 2 - Generic — — — None
Connect Bronze CMS Standard
via oxaprozin 		Tier 2 - Generic — — — None
Connect Gold CMS Standard
via oxaprozin 		Tier 2 - Generic — — — None
Connect myDiabetesCare Silver
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver RD 2200 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Gold 1500 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect myDiabetesCare Bronze
via oxaprozin 		Tier 2 - Generic — — — None
Connect Bronze 5500 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver RD 3500 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver 3000 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Silver RD 5000 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Connect Gold RD CMS Standard
via oxaprozin 		Tier 2 - Generic — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via oxaprozin 		Tier 2 - Generic — — — None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 1 hour, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP)
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Community Plan (HMO I-SNP)
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Aetna Medicare Full Dual Care (HMO D-SNP)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature (HMO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Dual (HMO D-SNP)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature (HMO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Value Plus (HMO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Prime (HMO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature Care (HMO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Enhanced (HMO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Enhanced (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Enhanced (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature Extra (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature Giveback (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Signature (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Chronic Care (HMO C-SNP)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Chronic Care Value (HMO C-SNP)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Wellcare Simple Open (PPO)
via oxaprozin 		Tier 2 - Generic — — — None
Wellcare Simple (HMO-POS)
via oxaprozin 		Tier 2 - Generic — — — None
Wellcare Giveback Open (PPO)
via oxaprozin 		Tier 2 - Generic — — — None
HealthTeam Advantage Vitality Plan (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
Alignment Health smartHMO (HMO)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
Alignment Health NC Duals (HMO-POS D-SNP)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
Alignment Health Platinum (HMO)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
Alignment Health Platinum Select (HMO)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
Alignment Health AVA (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
HealthTeam Advantage Plan I (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
HealthTeam Advantage Plan II (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
HealthSpring True Choice (PPO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Wellcare Dual Access (HMO-POS D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Wellcare Dual Liberty (HMO-POS D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Wellcare Dual Reserve (HMO-POS D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
HealthSpring TotalCare Plus (HMO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
HealthSpring TotalCare (HMO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED GIVEBACK 012 NC (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED GIVEBACK 002 NC (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED CORE 001 NC (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED DUAL 009 NC (HMO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
HealthSpring Preferred Plus (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
HealthSpring Preferred Savings (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
HealthSpring Preferred Select (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Wellcare Dual Liberty Open (PPO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Wellcare Assist Open (PPO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
HealthSpring Preferred (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 1 hour, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via oxaprozin 		Non-Preferred — — — None
NC Medicaid Preferred Drug List 2026 Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 1 hour, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026
via oxaprozin 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via oxaprozin 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - HDHP 2026
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Source: CMS QHP JSON  ·  Checked: 1 hour, 51 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Classic Standard
via oxaprozin 		Tier 2 - Generic — — — None
Silver Classic Standard
via oxaprozin 		Tier 2 - Generic — — — None
Gold Classic Standard
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Classic Standard | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Silver Classic Standard | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Gold Classic Standard | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus
via oxaprozin 		Tier 2 - Generic — — — None
Silver Classic
via oxaprozin 		Tier 2 - Generic — — — None
Secure
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Classic 4700
via oxaprozin 		Tier 2 - Generic — — — None
Silver Simple PCP Saver
via oxaprozin 		Tier 2 - Generic — — — None
Gold Elite Saver Plus
via oxaprozin 		Tier 2 - Generic — — — None
Silver Simple Diabetes
via oxaprozin 		Tier 2 - Generic — — — None
Secure | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Classic 4700 | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Silver Classic | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Silver Simple Diabetes | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Silver Simple PCP Saver | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Gold Elite Saver Plus | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Bronze Simple Diabetes | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
AIAN Cost Share
via oxaprozin 		Tier 2 - Generic — — — None
AIAN Cost Share | with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 1 hour, 51 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via oxaprozin 		Tier 3 - Non-Formulary ✓ — — PA
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 1 hour, 51 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Bronze Standard+ Dental + Vision (No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Silver Standard (No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Gold Standard (No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Bronze Standard (No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
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