dexlansoprazole capsules

Also known as: Dexilant

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026 via Dexilant	Tier 2 - Medium Cost Generic/Brand	—	—	— Restricted Access	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Dexilant	Tier 2 - Medium Cost Generic/Brand	—	—	— Restricted Access	None
BCBSNC Blue Local 2026 via Dexilant	Tier 2 - Medium Cost Generic/Brand	—	—	— Restricted Access	None
BCBSNC Blue Care 2026 via Dexilant	Tier 2 - Medium Cost Generic/Brand	—	—	— Restricted Access	None
BCBSNC Blue Value 2026 via Dexilant	Tier 2 - Medium Cost Generic/Brand	—	—	— Restricted Access	None

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Dexilant	Non-Preferred	—	✓	—	ST
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	✓	—	ST