diflorasone diacetate

0.0005 MG — Cream

CORTICOSTEROIDS-IMMUNE MODULATORS

GoodRx Compare Prices

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: 15 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Focused Silver with Atrium Health Tier 2 - Generic ✓ — — PA
Signature Expanded Bronze with Atrium Health Tier 2 - Generic ✓ — — PA
Signature Silver with Atrium Health Tier 2 - Generic ✓ — — PA
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Clear Silver with $0 Insulin Options Tier 2 - Generic ✓ — — PA
Signature Expanded Bronze Tier 2 - Generic ✓ — — PA
Signature Silver Tier 2 - Generic ✓ — — PA
Signature Gold Tier 2 - Generic ✓ — — PA
Everyday Bronze with Atrium Health Tier 2 - Generic ✓ — — PA
Elite Bronze with Atrium Health Tier 2 - Generic ✓ — — PA
Complete Gold with Atrium Health Tier 2 - Generic ✓ — — PA
Clear Silver with $0 Insulin Options + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Streamlined Silver Tier 2 - Generic ✓ — — PA
Streamlined Silver with Atrium Health Tier 2 - Generic ✓ — — PA
Enhanced CHF Heart Care Silver $0 Rx Options Tier 2 - Generic ✓ — — PA
Signature Expanded Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Signature Gold with Atrium Health Tier 2 - Generic ✓ — — PA
Enhanced Asthma/COPD Care Silver $0 Rx 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
Complete Gold Tier 2 - Generic ✓ — — PA
Enhanced Asthma/COPD Care Silver $0 Rx Options Tier 2 - Generic ✓ — — PA
Everyday Bronze Tier 2 - Generic ✓ — — PA
Elite Bronze Tier 2 - Generic ✓ — — PA
Signature Silver + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Signature Gold + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Signature Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Signature Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Source: CMS QHP JSON  ·  Formulary date: Sep 16, 2026  ·  Checked: 15 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Alignment Health NC Duals (HMO-POS D-SNP) Tier 4 - Non-Preferred — — ✓ 120 per 30 days QL
Alignment Health smartHMO (HMO) Tier 4 - Non-Preferred — — ✓ 120 per 30 days QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 4 - Non-Preferred — — ✓ 120 per 30 days QL
Alignment Health Platinum Select (HMO) Tier 4 - Non-Preferred — — ✓ 120 per 30 days QL
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 4 - Non-Preferred — — ✓ 120 per 30 days QL
Alignment Health AVA (PPO) Tier 4 - Non-Preferred — — ✓ 120 per 30 days QL
Alignment Health Platinum (HMO) Tier 4 - Non-Preferred — — ✓ 120 per 30 days QL
Source: CMS QHP JSON  ·  Checked: 15 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Elite + PCP Saver Plus Tier 2 - Generic — — ✓ QL
Silver Classic Tier 2 - Generic — — ✓ QL
Secure Tier 2 - Generic — — ✓ QL
Bronze Classic 4700 Tier 2 - Generic — — ✓ QL
Silver Simple PCP Saver Tier 2 - Generic — — ✓ QL
Silver Simple Diabetes Tier 2 - Generic — — ✓ QL
Bronze Classic Standard Tier 2 - Generic — — ✓ QL
Silver Classic Standard Tier 2 - Generic — — ✓ QL
Gold Classic Standard Tier 2 - Generic — — ✓ QL
Bronze Classic Standard | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Classic Standard | with Atrium Health Tier 2 - Generic — — ✓ QL
Gold Classic Standard | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic — — ✓ QL
Secure | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Classic 4700 | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Classic | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Diabetes | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple PCP Saver | with Atrium Health Tier 2 - Generic — — ✓ QL
Bronze Simple Diabetes | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic — — ✓ QL
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 2 - Generic — — ✓ QL
AIAN Cost Share Tier 2 - Generic — — ✓ QL
AIAN Cost Share | with Atrium Health Tier 2 - Generic — — ✓ QL
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 15 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA
Source: PDF  ·  Formulary date: Sep 23, 2026  ·  Checked: 15 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Something not right?