Erygel

Generic: erythromycin base in ethanol

Gel

Acne Agents

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: 5 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 5 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via erythromycin base in ethanol
Tier 1 - Basic Core Formulary None
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