Depo-Medrol

Generic: methylprednisolone acetate

40 MG, 80 MG — Suspension

GLUCOCORTICOSTEROIDS

Also known as: DEPO-MEDROL SUSP 20MG/ML, 40MG/ML, 80MG/ML methylprednisolone acetate DEPO-MEDROL SUSP 20MG/ML, 40MG/ML,
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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: 16 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Signature Gold with Atrium Health + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Silver with Atrium Health + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Gold + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Silver + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Expanded Bronze + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Focused Silver with Atrium Health + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Elite Bronze + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Everyday Bronze + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Complete Gold + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Gold with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Silver with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Expanded Bronze with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Complete Gold with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Focused Silver with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Elite Bronze with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Gold
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Silver
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Signature Expanded Bronze
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Clear Silver with $0 Insulin Options
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Elite Bronze
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Everyday Bronze
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Streamlined Silver
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Streamlined Silver with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Enhanced CHF Heart Care Silver $0 Rx Options
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Complete Gold
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Complete Gold Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options Tier 4 - Non-Preferred — — — None
Everyday Bronze Tier 4 - Non-Preferred — — — None
Elite Bronze Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze Tier 4 - Non-Preferred — — — None
Signature Silver Tier 4 - Non-Preferred — — — None
Signature Gold Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Everyday Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Elite Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Silver + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Signature Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Enhanced CHF Heart Care Silver $0 Rx Options Tier 4 - Non-Preferred — — — None
Streamlined Silver with Atrium Health Tier 4 - Non-Preferred — — — None
Streamlined Silver Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 16 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via methylprednisolone acetate 		Tier 1 - Generic — — — None
BCBS Federal Basic Option 2026
via methylprednisolone acetate 		Tier 1 - Generic — — — None
BCBS Federal Focus 2026
via methylprednisolone acetate 		Tier 1 - Generic — — — None
BCBS Federal Basic Option 2026 Tier 3 - Non-Preferred Brand — — — None
BCBS Federal Standard Option 2026 Tier 3 - Non-Preferred Brand — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 16 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026
via methylprednisolone acetate 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - HDHP 2026
via methylprednisolone acetate 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via methylprednisolone acetate 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - HDHP 2026 Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 3 - Non-Preferred Brand — — — None
Source: CMS QHP JSON  ·  Checked: 16 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Simple Chronic Care CKM | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Classic
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Secure
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Classic 4700
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Simple PCP Saver
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Gold Elite Saver Plus
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Simple Diabetes
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Classic Standard
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Classic Standard
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Gold Classic Standard
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Classic Standard | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Classic Standard | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Gold Classic Standard | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Secure | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Classic 4700 | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Classic | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Simple Diabetes | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Simple PCP Saver | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Gold Elite Saver Plus | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Bronze Simple Diabetes | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
AIAN Cost Share
via methylprednisolone acetate 		Tier 2 - Generic — — — None
AIAN Cost Share | with Atrium Health
via methylprednisolone acetate 		Tier 2 - Generic — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 4 - Non-Preferred — — — None
Secure | with Atrium Health Tier 4 - Non-Preferred — — — None
Bronze Simple Chronic Care CKM | with Atrium Health Tier 4 - Non-Preferred — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 4 - Non-Preferred — — — None
Gold Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — — None
Silver Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — — None
Bronze Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — — None
Gold Classic Standard Tier 4 - Non-Preferred — — — None
Silver Classic Standard Tier 4 - Non-Preferred — — — None
Bronze Classic Standard Tier 4 - Non-Preferred — — — None
Silver Simple Diabetes Tier 4 - Non-Preferred — — — None
Gold Elite Saver Plus Tier 4 - Non-Preferred — — — None
Silver Simple PCP Saver Tier 4 - Non-Preferred — — — None
Bronze Classic 4700 Tier 4 - Non-Preferred — — — None
Secure Tier 4 - Non-Preferred — — — None
Silver Classic Tier 4 - Non-Preferred — — — None
Bronze Elite + PCP Saver Plus Tier 4 - Non-Preferred — — — None
Bronze Classic 4700 | with Atrium Health Tier 4 - Non-Preferred — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 4 - Non-Preferred — — — None
Silver Classic | with Atrium Health Tier 4 - Non-Preferred — — — None
Silver Simple Diabetes | with Atrium Health Tier 4 - Non-Preferred — — — None
Silver Simple PCP Saver | with Atrium Health Tier 4 - Non-Preferred — — — None
Gold Elite Saver Plus | with Atrium Health Tier 4 - Non-Preferred — — — None
AIAN Cost Share | with Atrium Health Tier 4 - Non-Preferred — — — None
Silver Simple Chronic Care CKM | with Atrium Health Tier 4 - Non-Preferred — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 4 - Non-Preferred — — — None
AIAN Cost Share Tier 4 - Non-Preferred — — — None
Bronze Simple Diabetes | with Atrium Health Tier 4 - Non-Preferred — — — None
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