Flac

Generic: fluocinolone acetonide

0.1 MG

Also known as: fluocinolone acetonide

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

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 11 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Standard Silver via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Focused Silver with Atrium Health via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
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
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
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
Elite Bronze + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Silver + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Gold + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health + Vision + Adult Dental via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Complete Gold via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Elite Bronze via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Standard Gold via fluocinolone acetonide	Tier 2 - Generic	—	—	✓	QL
Elite Bronze via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Expanded Bronze + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Silver + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Gold + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Silver with Atrium Health + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Gold with Atrium Health + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Focused Silver with Atrium Health + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Complete Gold via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Everyday Bronze via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Clear Silver with $0 Insulin Options via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Expanded Bronze via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Silver via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Gold via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Focused Silver with Atrium Health via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Complete Gold with Atrium Health via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Expanded Bronze with Atrium Health via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Silver with Atrium Health via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Standard Gold with Atrium Health via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Complete Gold + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Everyday Bronze + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Elite Bronze + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL
Complete Gold with Atrium Health + Vision + Adult Dental via Neo-Synalar	Tier 4 - Non-Preferred	✓	—	✓	PA \| QL

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 11 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026 via fluocinolone acetonide	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Local 2026 via fluocinolone acetonide	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Care 2026 via fluocinolone acetonide	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Value 2026 via fluocinolone acetonide	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via fluocinolone acetonide	Tier 2 - Medium Cost Generic/Brand	—	—	—	None

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 11 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Neo-Synalar	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Neo-Synalar	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Neo-Synalar	Not Covered	—	—	—	None

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 11 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via fluocinolone acetonide	Tier 3 - Non-Formulary	—	—	—	None

UnitedHealthcare

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 11 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026 via Neo-Synalar	Unknown	—	—	✓	QL