Dodex

Generic: vitamin B12

1 MG — Injection

Vitamin B12

Also known as: vitamin B12
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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: 17 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Everyday Bronze + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Silver with Atrium Health
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Gold with Atrium Health
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Complete Gold + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze Tier 2 - Generic — — ✓ QL
Complete Gold Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 2 - Generic — — ✓ QL
Everyday Bronze Tier 2 - Generic — — ✓ QL
Elite Bronze Tier 2 - Generic — — ✓ QL
Clear Silver with $0 Insulin Options Tier 2 - Generic — — ✓ QL
Standard Silver Tier 2 - Generic — — ✓ QL
Standard Gold Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze with Atrium Health Tier 2 - Generic — — ✓ QL
Standard Silver with Atrium Health Tier 2 - Generic — — ✓ QL
Standard Gold with Atrium Health Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Complete Gold + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Everyday Bronze + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Elite Bronze + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Standard Silver + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Standard Gold + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Standard Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Standard Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic — — ✓ QL
Complete Gold
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Everyday Bronze
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Elite Bronze
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Clear Silver with $0 Insulin Options
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Silver
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Gold
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Elite Bronze + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Silver + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Gold + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Silver with Atrium Health + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Gold with Atrium Health + Vision + Adult Dental
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze with Atrium Health
via vitamin B12 		Tier 2 - Generic — — ✓ QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via Nascobal 		Tier 3 - Non-Preferred Brand ✓ — — PA
BCBS Federal Basic Option 2026
via Nascobal 		Tier 3 - Non-Preferred Brand ✓ — — PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via Nascobal 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Nascobal 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Nascobal 		Not Covered — — — None
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