Eskata

Generic: hydrogen peroxide

40% — Solution

Dermatological Agents

Also known as: ESKATA SOLN 40%

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: 22 hours ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via hydrogen peroxide
Tier 3 - Non-Preferred Brand None
NC State Health Plan - 80/20 Plus PPO 2026
via hydrogen peroxide
Tier 3 - Non-Preferred Brand None
NC State Health Plan - 70/30 Standard PPO 2026
via hydrogen peroxide
Tier 3 - Non-Preferred Brand None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 22 hours ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 4 - Higher Cost None
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