fulvestrant sosy
Generic: fulvestrant
250mg/5ml
Also known as:
fulvestrant sosy 250mg/5ml
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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)
34 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Everyday Bronze with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Silver with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Gold with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Silver + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Gold + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Streamlined Silver with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Streamlined Silver
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Silver
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Gold
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Clear Silver with $0 Insulin Options
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Signature Expanded Bronze
via fulvestrant |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 4 - Specialty Generic | ✓ | — | — | PA |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 4 - Specialty Generic | ✓ | — | — | PA |
| NC State Health Plan - HDHP 2026 | Tier 4 - Specialty Generic | ✓ | — | — | PA |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
AIAN Cost Share | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Elite + PCP Saver Plus
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Classic
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Secure
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Classic 4700
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Simple PCP Saver
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Gold Elite Saver Plus
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Simple Diabetes
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Classic Standard
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Classic Standard
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Gold Classic Standard
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Classic Standard | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Classic Standard | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Gold Classic Standard | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Simple Chronic Care CKM | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Secure | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Classic 4700 | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Elite + PCP Saver Plus | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Classic | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Simple Diabetes | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Simple PCP Saver | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Gold Elite Saver Plus | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Bronze Simple Diabetes | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Simple Chronic Care CKM | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |
|
AIAN Cost Share
via fulvestrant |
Tier 5 - Specialty | — | — | — | None |