Exelderm

Generic: sulconazole nitrate

DERMATOLOGICALS

GoodRx Compare Prices

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: 1 hour, 9 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Elite Bronze + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Silver + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Gold + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Silver with Atrium Health + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Gold with Atrium Health + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Complete Gold + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Everyday Bronze + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Complete Gold
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Everyday Bronze
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Elite Bronze
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Clear Silver with $0 Insulin Options
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Silver
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Gold
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze with Atrium Health
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Silver with Atrium Health
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Gold with Atrium Health
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Standard Expanded Bronze + Vision + Adult Dental
via sulconazole nitrate 		Tier 2 - Generic — — ✓ QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 9 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 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
BCBSNC Blue Local 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
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 1 hour, 9 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via sulconazole nitrate 		Tier 3 - Non-Formulary — — — None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 1 hour, 9 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 4 - Higher Cost — — — None
UnitedHealthcare NC Individual & Family 2026
via sulconazole nitrate 		Tier 4 - Higher Cost — — — None
Something not right?