flurazepam hydrochloride

Generic: flurazepam hcl

15 MG — Capsule

HYPNOTICS

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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.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold Tier 2 - Generic ✓ — — PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 2 - Generic ✓ — — PA
Everyday Bronze Tier 2 - Generic ✓ — — PA
Elite Bronze Tier 2 - Generic ✓ — — PA
Clear Silver with $0 Insulin Options Tier 2 - Generic ✓ — — PA
Standard Expanded Bronze Tier 2 - Generic ✓ — — PA
Standard Silver Tier 2 - Generic ✓ — — PA
Standard Gold Tier 2 - Generic ✓ — — PA
Everyday Bronze with Atrium Health Tier 2 - Generic ✓ — — PA
Elite Bronze with Atrium Health Tier 2 - Generic ✓ — — PA
Focused Silver with Atrium Health Tier 2 - Generic ✓ — — PA
Complete Gold with Atrium Health Tier 2 - Generic ✓ — — PA
Standard Expanded Bronze with Atrium Health Tier 2 - Generic ✓ — — PA
Standard Silver with Atrium Health Tier 2 - Generic ✓ — — PA
Standard Gold with Atrium Health Tier 2 - Generic ✓ — — PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Complete Gold + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Everyday Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Elite Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Focused Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Complete Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Standard Expanded Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Standard Silver + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Standard Gold + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Standard Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Standard Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Care 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Local 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Advantage 2026 Tier 4 - Higher Cost Brand — — — None
Source: CMS QHP JSON  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic — — — None
Bronze Classic 4700 | with Atrium Health Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 2 - Generic — — — None
Silver Classic | with Atrium Health Tier 2 - Generic — — — None
Silver Simple Diabetes | with Atrium Health Tier 2 - Generic — — — None
Silver Simple PCP Saver | with Atrium Health Tier 2 - Generic — — — None
Gold Elite Saver Plus | with Atrium Health Tier 2 - Generic — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic — — — None
Bronze Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic — — — None
Bronze Simple Diabetes | with Atrium Health Tier 2 - Generic — — — None
Silver Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 2 - Generic — — — None
AIAN Cost Share Tier 2 - Generic — — — None
AIAN Cost Share | with Atrium Health Tier 2 - Generic — — — None
Bronze Classic Standard Tier 2 - Generic — — — None
Silver Classic Standard Tier 2 - Generic — — — None
Gold Classic Standard Tier 2 - Generic — — — None
Bronze Classic Standard | with Atrium Health Tier 2 - Generic — — — None
Silver Classic Standard | with Atrium Health Tier 2 - Generic — — — None
Gold Classic Standard | with Atrium Health Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus Tier 2 - Generic — — — None
Silver Classic Tier 2 - Generic — — — None
Secure Tier 2 - Generic — — — None
Bronze Classic 4700 Tier 2 - Generic — — — None
Silver Simple PCP Saver Tier 2 - Generic — — — None
Gold Elite Saver Plus Tier 2 - Generic — — — None
Silver Simple Diabetes Tier 2 - Generic — — — None
Secure | with Atrium Health Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 19 hours, 41 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals Tier 1 - Preferred Generic — — ✓ QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Bronze Standard+ Dental + Vision (No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Silver Value ($0 Virtual Urgent Care, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Silver Standard (No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Gold Standard (No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Bronze Standard (No Referrals) Tier 1 - Preferred Generic — — ✓ QL
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) Tier 1 - Preferred Generic — — ✓ QL
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