crotamiton

100 MG

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: 7 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Silver with Atrium Health + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Elite Bronze with Atrium Health + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Focused Silver with Atrium Health + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Complete Gold with Atrium Health + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Standard Expanded Bronze + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Standard Silver + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Standard Gold + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Standard Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic PA
Standard Gold with Atrium Health + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Complete Gold Tier 2 - Generic PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 2 - Generic PA
Everyday Bronze Tier 2 - Generic PA
Elite Bronze Tier 2 - Generic PA
Clear Silver with $0 Insulin Options Tier 2 - Generic PA
Standard Expanded Bronze Tier 2 - Generic PA
Standard Silver Tier 2 - Generic PA
Standard Gold Tier 2 - Generic PA
Everyday Bronze with Atrium Health Tier 2 - Generic PA
Elite Bronze with Atrium Health Tier 2 - Generic PA
Focused Silver with Atrium Health Tier 2 - Generic PA
Complete Gold with Atrium Health Tier 2 - Generic PA
Standard Expanded Bronze with Atrium Health Tier 2 - Generic PA
Standard Silver with Atrium Health Tier 2 - Generic PA
Standard Gold with Atrium Health Tier 2 - Generic PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 2 - Generic PA
Complete Gold + Vision + Adult Dental Tier 2 - Generic PA
Everyday Bronze + Vision + Adult Dental Tier 2 - Generic PA
Elite Bronze + Vision + Adult Dental Tier 2 - Generic PA
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic PA
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic PA
Focused Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic PA
Complete Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic PA
Standard Expanded Bronze + Vision + Adult Dental Tier 2 - Generic PA
Standard Silver + Vision + Adult Dental Tier 2 - Generic PA
Standard Gold + Vision + Adult Dental Tier 2 - Generic PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic PA
Standard Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic PA
Complete Gold
via Crotan
Tier 2 - Generic PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Crotan
Tier 2 - Generic PA
Everyday Bronze
via Crotan
Tier 2 - Generic PA
Elite Bronze
via Crotan
Tier 2 - Generic PA
Clear Silver with $0 Insulin Options
via Crotan
Tier 2 - Generic PA
Standard Expanded Bronze
via Crotan
Tier 2 - Generic PA
Standard Silver
via Crotan
Tier 2 - Generic PA
Standard Gold
via Crotan
Tier 2 - Generic PA
Everyday Bronze with Atrium Health
via Crotan
Tier 2 - Generic PA
Elite Bronze with Atrium Health
via Crotan
Tier 2 - Generic PA
Focused Silver with Atrium Health
via Crotan
Tier 2 - Generic PA
Complete Gold with Atrium Health
via Crotan
Tier 2 - Generic PA
Standard Expanded Bronze with Atrium Health
via Crotan
Tier 2 - Generic PA
Standard Silver with Atrium Health
via Crotan
Tier 2 - Generic PA
Standard Gold with Atrium Health
via Crotan
Tier 2 - Generic PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Complete Gold + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Everyday Bronze + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Elite Bronze + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Crotan
Tier 2 - Generic PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 7 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Crotan
Tier 4 - Higher Cost Brand None
BCBSNC Blue Home with UNC Health Alliance 2026
via Crotan
Tier 4 - Higher Cost Brand None
BCBSNC Blue Local 2026
via Crotan
Tier 4 - Higher Cost Brand None
BCBSNC Blue Care 2026
via Crotan
Tier 4 - Higher Cost Brand None
BCBSNC Blue Value 2026
via Crotan
Tier 4 - Higher Cost Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 7 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Crotan
Non-Preferred ST
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 7 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via Crotan
Tier 4 - Higher Cost None
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