Enstilar

Generic: betamethasone dipropionate

0.643 MG — Foam

DERMATOLOGICALS

Also known as: betamethasone dipropionate ENSTILAR AER

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: Apr 1, 2026  ·  Checked: 20 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 3 - Non-Preferred Brand QL
BCBS Federal Basic Option 2026 Tier 3 - Non-Preferred Brand QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026
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Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026
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Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Care 2026
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Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Value 2026
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Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Advantage 2026
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Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Local 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Care 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Value 2026 Tier 3 - High Cost Brand None
BCBSNC Blue Advantage 2026 Tier 3 - High Cost Brand None
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 20 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
DEVOTED CHOICE GIVEBACK 009 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CHOICE GIVEBACK 002 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CHOICE 003 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CHOICE GIVEBACK 004 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CHOICE 005 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CHOICE GIVEBACK 006 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CHOICE 008 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED DUAL FULL 013 NC (HMO D-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED DUAL 009 NC (HMO D-SNP) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CORE 001 NC (HMO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED GIVEBACK 002 NC (HMO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED GIVEBACK 012 NC (HMO) Tier 5 - Specialty 120 per 30 days PA | QL
DEVOTED CHOICE 001 NC (PPO) Tier 5 - Specialty 120 per 30 days PA | QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 2 - Non-Preferred Generic PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 2 - Non-Preferred Generic PA
NC State Health Plan - HDHP 2026 Tier 2 - Non-Preferred Generic PA
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 20 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
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Tier 3 - Non-Formulary None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 20 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
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Tier 3 - Mid-Range Cost None
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