Dutasteride-Tamsulosin

Generic: dutasteride/tamsulosin HCl

0.5-0.4 Mg — Capsule

5-alpha Reductase Inhibitor

Also known as: Dutasteride-Tamsulosin 0.5-0.4 Mg Capsule

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 16 hours, 15 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Silver RD 2200 Indiv Med Deductible Tier 2 - Generic None
Connect Silver CMS Standard Tier 2 - Generic None
Connect Bronze CMS Standard Tier 2 - Generic None
Connect Gold RD CMS Standard Tier 2 - Generic None
Connect Bronze RD CMS Standard Tier 2 - Generic None
Connect Gold CMS Standard Tier 2 - Generic None
Connect Silver RD CMS Standard Tier 2 - Generic None
Connect Bronze 6500 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 4400 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 6000 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 5500 Indiv Med Deductible Tier 2 - Generic None
Connect myDiabetesCare Bronze Tier 2 - Generic None
Connect Gold 1500 Indiv Med Deductible Tier 2 - Generic None
Connect myDiabetesCare Silver Tier 2 - Generic None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 16 hours, 15 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic None
Wellcare Simple (HMO-POS) Tier 2 - Generic None
Wellcare Giveback Open (PPO) Tier 2 - Generic None
Wellcare Simple Open (PPO) Tier 2 - Generic None
HumanaChoice H5525-083 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 002 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE 003 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 004 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE 005 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 006 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE 008 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE GIVEBACK 009 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
Alignment Health Platinum (HMO) Tier 3 - Preferred Brand 30 per 30 days QL
Alignment Health NC Duals (HMO-POS D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Alignment Health smartHMO (HMO) Tier 3 - Preferred Brand 30 per 30 days QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Alignment Health Platinum Select (HMO) Tier 3 - Preferred Brand 30 per 30 days QL
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Alignment Health AVA (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H1036-137 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H1036-233 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Dual Select H1036-307 (HMO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus Giveback H1036-318 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H1036-335 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
HumanaChoice Giveback H5216-017 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
HumanaChoice H5216-211 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Full Access H5525-034 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
HumanaChoice Giveback H5525-035 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
HumanaChoice SNP-DE H5525-036 (PPO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
HumanaChoice H5525-049 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
HumanaChoice H5525-050 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
HumanaChoice H5525-070 (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Dual Select H5525-072 (PPO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H6622-025 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H6622-026 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Dual Select H6622-027 (HMO-POS D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H6622-057 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H6622-060 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus H6622-061 (HMO-POS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Choice H8145-004 (PFFS) Tier 3 - Preferred Brand 30 per 30 days QL
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED DUAL FULL 013 NC (HMO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED DUAL 009 NC (HMO D-SNP) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CORE 001 NC (HMO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED GIVEBACK 002 NC (HMO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED GIVEBACK 012 NC (HMO) Tier 3 - Preferred Brand 30 per 30 days QL
DEVOTED CHOICE 001 NC (PPO) Tier 3 - Preferred Brand 30 per 30 days QL
Aetna Medicare Prime (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
HealthSpring Preferred Plus (HMO) Tier 4 - Non-Preferred None
Wellcare Dual Liberty Open (PPO D-SNP) Tier 4 - Non-Preferred None
Wellcare Assist Open (PPO) Tier 4 - Non-Preferred None
Wellcare Dual Access (HMO-POS D-SNP) Tier 4 - Non-Preferred None
Wellcare Dual Liberty (HMO-POS D-SNP) Tier 4 - Non-Preferred None
HealthSpring TotalCare (HMO D-SNP) Tier 4 - Non-Preferred None
HealthSpring True Choice (PPO) Tier 4 - Non-Preferred None
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Chronic Care (HMO C-SNP) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature Giveback (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature Extra (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Enhanced (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Enhanced (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Enhanced (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 4 - Non-Preferred 30 per 30 days QL
Wellcare Dual Reserve (HMO-POS D-SNP) Tier 4 - Non-Preferred None
HealthSpring Preferred Select (HMO) Tier 4 - Non-Preferred None
HealthSpring Preferred (HMO) Tier 4 - Non-Preferred None
HealthSpring TotalCare Plus (HMO D-SNP) Tier 4 - Non-Preferred None
Blue Medicare PPO Enhanced (PPO) Tier 4 - Non-Preferred 30 per 30 days QL
Blue Medicare Essential Plus (HMO-POS) Tier 4 - Non-Preferred 30 per 30 days QL
Blue Medicare Enhanced (HMO-POS) Tier 4 - Non-Preferred 30 per 30 days QL
Blue Medicare Choice (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
Blue Medicare Essential (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
Experience Health Medicare Advantage (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Value Plus (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
HealthSpring Preferred Savings (HMO) Tier 4 - Non-Preferred None
Aetna Medicare Dual (HMO D-SNP) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
Aetna Medicare Signature Care (HMO) Tier 4 - Non-Preferred 30 per 30 days QL
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 16 hours, 15 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via dutasteride/tamsulosin HCl
Tier 3 - Non-Formulary PA
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