Daypro

Generic: oxaprozin

ANALGESICS - ANTI-INFLAMMATORY

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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, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Everyday Bronze
via oxaprozin 		Tier 2 - Generic — — — None
Complete Gold
via oxaprozin 		Tier 2 - Generic — — — None
Focused Silver with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Elite Bronze with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Standard Gold
via oxaprozin 		Tier 2 - Generic — — — None
Standard Silver
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
Elite Bronze
via oxaprozin 		Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via oxaprozin 		Tier 2 - Generic — — — None
Standard Gold with Atrium Health + Vision + Adult Dental
via oxaprozin 		Tier 2 - Generic — — — None
Standard Silver with Atrium Health + Vision + Adult Dental
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
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
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 Silver with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Standard Expanded Bronze with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Complete Gold with Atrium Health
via oxaprozin 		Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 2 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026
via oxaprozin 		Tier 1 - Generic — — — None
BCBS Federal Standard Option 2026
via oxaprozin 		Tier 1 - Generic — — — None
BCBS Federal Basic Option 2026
via oxaprozin 		Tier 1 - Generic — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 2 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Advantage 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand — — — None
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand — — — None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 2 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026
via oxaprozin 		Tier 1 - Generic — — — None
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 2 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Longevity Health 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
Provider Partners North Carolina Community Plan (HMO I-SNP)
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Aetna Medicare Enhanced (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 Enhanced (HMO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
Aetna Medicare Full Dual Care (HMO D-SNP)
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 Prime (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 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 Chronic Care Value (HMO C-SNP)
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
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
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 Signature (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 Enhanced (PPO)
via oxaprozin 		Tier 2 - Generic — — ✓ 90 per 30 days QL
HealthTeam Advantage Plan I (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
Alignment Health Platinum (HMO)
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 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 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
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
HealthTeam Advantage Vitality Plan (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
HealthTeam Advantage Plan II (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — — None
Alignment Health AVA (PPO)
via oxaprozin 		Tier 3 - Preferred Brand — — ✓ 90 per 30 days QL
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED CORE 001 NC (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED GIVEBACK 002 NC (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED GIVEBACK 012 NC (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
HealthSpring Preferred (HMO)
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
HealthSpring True Choice (PPO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Wellcare Assist Open (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 Preferred Plus (HMO)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
DEVOTED DUAL 009 NC (HMO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Wellcare Dual Liberty Open (PPO D-SNP)
via oxaprozin 		Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 2 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via oxaprozin 		Non-Preferred — — — None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 2 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via oxaprozin 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via oxaprozin 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - HDHP 2026
via oxaprozin 		Tier 1 - Preferred Generic — — — None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 2 hours, 45 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: Jan 1, 2026  ·  Checked: 2 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via oxaprozin 		Tier 3 - Mid-Range Cost — — — None
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