Flublok 2024-2025
Generic: influenza A virus A/Massachusetts/18/2022 (H3N2) antigen
0.045 MG — Prefilled Syringe
Also known as:
influenza A virus A/Massachusetts/18/2022 (H3N2) antigen
Flublok Intramuscular Solution Prefilled Syringe
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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)
29 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Complete Gold | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Clear Silver with $0 Insulin Options | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Expanded Bronze | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Silver | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Gold | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Focused Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Complete Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Expanded Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Complete Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Silver + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Gold Premier + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Essential + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Brand-Preferred | — | — | — | None |
Cigna
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Connect Silver 4400 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Silver RD 5000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Silver 3000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Bronze 6500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Silver CMS Standard | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Silver RD CMS Standard | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Gold CMS Standard | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Bronze RD CMS Standard | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Gold RD CMS Standard | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Bronze CMS Standard | Tier 3 - Preferred Brand | — | — | — | None |
| Connect myDiabetesCare Silver | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Silver RD 2200 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Gold 1500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect myDiabetesCare Bronze | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Bronze 5500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Bronze RD 6000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Silver 3500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Bronze RD 5000 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Silver RD 3500 Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |
| Connect Bronze 7000 HSA Indiv Med Deductible | Tier 3 - Preferred Brand | — | — | — | None |