Ertaczo

Generic: sertaconazole

20 MG — Cream

DERMATOLOGICALS

Also known as: sertaconazole
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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: 7 hours, 39 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Clear Silver with $0 Insulin Options Tier 4 - Non-Preferred — — ✓ QL
Signature Silver Tier 4 - Non-Preferred — — ✓ QL
Complete Gold Tier 4 - Non-Preferred — — ✓ QL
Signature Gold Tier 4 - Non-Preferred — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze Tier 4 - Non-Preferred — — ✓ QL
Signature Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Signature Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Signature Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Signature Expanded Bronze Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Streamlined Silver Tier 4 - Non-Preferred — — ✓ QL
Streamlined Silver with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options Tier 4 - Non-Preferred — — ✓ QL
Signature Expanded Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Focused Silver with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Complete Gold with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Signature Expanded Bronze with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Signature Silver with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Signature Gold with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Complete Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Signature Silver + Vision + Adult Dental Tier 4 - Non-Preferred — — ✓ QL
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 7 hours, 39 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026 Tier 4 - Higher Cost Brand ✓ — — Restricted Access PA
BCBSNC Blue Advantage 2026 Tier 4 - Higher Cost Brand ✓ — — Restricted Access PA
BCBSNC Blue Care 2026 Tier 4 - Higher Cost Brand ✓ — — Restricted Access PA
BCBSNC Blue Value 2026 Tier 4 - Higher Cost Brand ✓ — — Restricted Access PA
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 4 - Higher Cost Brand ✓ — — Restricted Access PA
Source: PDF  ·  Formulary date: Oct 7, 2026  ·  Checked: 7 hours, 39 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Silver 3600 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Bronze CMS Standard Tier 4 - Non-Preferred ✓ — — PA
Connect myDiabetesCare Bronze Tier 4 - Non-Preferred ✓ — — PA
Connect Silver 5000 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Silver 3000 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Silver CMS Standard Tier 4 - Non-Preferred ✓ — — PA
Connect Gold 1500 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Bronze RD 6000 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Bronze RD CMS Standard Tier 4 - Non-Preferred ✓ — — PA
Connect Silver RD 3500 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Silver RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Silver RD CMS Standard Tier 4 - Non-Preferred ✓ — — PA
Connect Silver RD 2200 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Gold RD CMS Standard Tier 4 - Non-Preferred ✓ — — PA
Connect Bronze 7000 HSA Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Bronze 5500 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Connect Gold CMS Standard Tier 4 - Non-Preferred ✓ — — PA
Connect myDiabetesCare Silver Tier 4 - Non-Preferred ✓ — — PA
Connect Bronze 6500 Indiv Med Deductible Tier 4 - Non-Preferred ✓ — — PA
Source: CMS QHP JSON  ·  Formulary date: Sep 16, 2026  ·  Checked: 7 hours, 39 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Aetna Medicare Enhanced (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature Extra (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature Giveback (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Dual (HMO D-SNP) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature (HMO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Value Plus (HMO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Prime (HMO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature Care (HMO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Chronic Care (HMO C-SNP) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Enhanced (HMO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Enhanced (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature (HMO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Aetna Medicare Signature (PPO) Tier 4 - Non-Preferred — — ✓ 60 per 30 days QL
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 7 hours, 39 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred — — — None
Source: CMS QHP JSON  ·  Checked: 7 hours, 39 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Gold Classic Standard Tier 4 - Non-Preferred — — ✓ QL
Silver Classic Standard Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Gold Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Secure | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic Standard Tier 4 - Non-Preferred — — ✓ QL
Silver Simple Diabetes Tier 4 - Non-Preferred — — ✓ QL
Gold Elite Saver Plus Tier 4 - Non-Preferred — — ✓ QL
Bronze Elite + PCP Saver Plus Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic 4700 | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Classic | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple Diabetes | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple PCP Saver | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Gold Elite Saver Plus | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple PCP Saver Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic 4700 Tier 4 - Non-Preferred — — ✓ QL
Secure Tier 4 - Non-Preferred — — ✓ QL
Silver Classic Tier 4 - Non-Preferred — — ✓ QL
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