halcinonide

Generic: Halog

0.1 % — Cream

Steroids — Low Potency

Also known as: Halog halcinonide soln .1% HALOG Halcinonide External Cream
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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: 14 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Elite Bronze with Atrium Health Tier 2 - Generic ✓ — — PA
Focused Silver with Atrium Health Tier 2 - Generic ✓ — — PA
Complete Gold with Atrium Health + 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
Complete Gold Tier 2 - Generic ✓ — — PA
Standard Expanded Bronze + Vision + Adult Dental Tier 2 - Generic ✓ — — PA
Standard Silver + Vision + Adult Dental 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
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
Everyday Bronze with Atrium Health
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Clear Silver with $0 Insulin Options
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Complete Gold
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Everyday Bronze
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Expanded Bronze
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Silver
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Gold
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze with Atrium Health
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Focused Silver with Atrium Health
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Complete Gold with Atrium Health
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Expanded Bronze with Atrium Health
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Silver with Atrium Health
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Focused Silver with Atrium Health + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Complete Gold with Atrium Health + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Expanded Bronze + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Silver + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Gold + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Silver with Atrium Health + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Gold with Atrium Health + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Standard Gold with Atrium Health
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Complete Gold + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Everyday Bronze + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Elite Bronze with Atrium Health + Vision + Adult Dental
via Halog 		Tier 4 - Non-Preferred ✓ — — PA
Source: CMS QHP JSON  ·  Checked: 14 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic — ✓ — ST
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 2 - Generic — ✓ — ST
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 14 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 14 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic — — — None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic — — — None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic — — — None
Source: CMS QHP JSON  ·  Checked: 14 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Bronze Simple Chronic Care CKM | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Bronze Simple Diabetes | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple Chronic Care CKM | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
AIAN Cost Share Tier 4 - Non-Preferred — — ✓ QL
AIAN Cost Share | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Gold Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Classic Tier 4 - Non-Preferred — — ✓ QL
Secure Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic 4700 Tier 4 - Non-Preferred — — ✓ QL
Silver Simple PCP Saver Tier 4 - Non-Preferred — — ✓ QL
Gold Elite Saver Plus Tier 4 - Non-Preferred — — ✓ QL
Silver Simple Diabetes Tier 4 - Non-Preferred — — ✓ QL
Secure | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic 4700 | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Classic | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple Diabetes | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Simple PCP Saver | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Gold Elite Saver Plus | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Bronze Elite + PCP Saver Plus Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic Standard Tier 4 - Non-Preferred — — ✓ QL
Silver Classic Standard Tier 4 - Non-Preferred — — ✓ QL
Gold Classic Standard Tier 4 - Non-Preferred — — ✓ QL
Bronze Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Silver Classic Standard | with Atrium Health Tier 4 - Non-Preferred — — ✓ QL
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 14 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA
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