FiberCon
Generic: calcium polycarbophil
625 MG — Tablet
Also known as:
calcium polycarbophil
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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.
Ambetter (Centene)
87 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
| Complete Gold | Tier 2 - Generic | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze | Tier 2 - Generic | — | — | — | None |
| Elite Bronze | Tier 2 - Generic | — | — | — | None |
| Clear Silver with $0 Insulin Options | Tier 2 - Generic | — | — | — | None |
| Standard Expanded Bronze | Tier 2 - Generic | — | — | — | None |
| Standard Silver | Tier 2 - Generic | — | — | — | None |
| Standard Gold | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Elite Bronze with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Focused Silver with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Complete Gold with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Standard Expanded Bronze with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Standard Silver with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Standard Gold with Atrium Health | Tier 2 - Generic | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Complete Gold + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Elite Bronze + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Silver + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
| Standard Gold + Vision + Adult Dental | Tier 2 - Generic | — | — | — | None |
|
Complete Gold
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via Fiber Tab |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via calcium polycarbophil |
Tier 2 - Generic | — | — | — | None |