Fluticasone

50 Mcg — Spray

Also known as: Flonase Cutivate Lotion Fluticasone 50 Mcg Nasal Spray

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

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 7 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze via Flonase	Tier 2 - Generic	—	—	✓	QL
Elite Bronze via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Silver via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Gold via Flonase	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via Flonase	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health via Flonase	Tier 2 - Generic	—	—	✓	QL
Focused Silver with Atrium Health via Flonase	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health via Flonase	Tier 2 - Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options via Flonase	Tier 2 - Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Silver + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Gold + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health + Vision + Adult Dental via Flonase	Tier 2 - Generic	—	—	✓	QL
Complete Gold via Flonase	Tier 2 - Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via Flonase	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze via Flonase	Tier 2 - Generic	—	—	✓	QL

Cigna

20 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 7 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Connect Bronze CMS Standard via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect myDiabetesCare Silver via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD 2200 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Gold 1500 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect myDiabetesCare Bronze via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver 3500 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze RD 5000 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD 3500 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze 7000 HSA Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver 4400 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver 3000 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver CMS Standard via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Silver RD CMS Standard via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Gold CMS Standard via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Bronze RD CMS Standard via BESER	Tier 4 - Non-Preferred	—	—	—	None
Connect Gold RD CMS Standard via BESER	Tier 4 - Non-Preferred	—	—	—	None

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 7 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None