Halog

Generic: halcinonide

0.001 MG — Ointment

Also known as: halcinonide

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

Ambetter (Centene)

58 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 20 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Elite Bronze with Atrium Health via halcinonide	Tier 2 - Generic	✓	—	—	PA
Focused Silver with Atrium Health via halcinonide	Tier 2 - Generic	✓	—	—	PA
Complete Gold with Atrium Health + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Gold + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Silver with Atrium Health + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Gold with Atrium Health + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Complete Gold via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Expanded Bronze + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Silver + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Complete Gold with Atrium Health via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Expanded Bronze with Atrium Health via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Silver with Atrium Health via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Gold with Atrium Health via halcinonide	Tier 2 - Generic	✓	—	—	PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Complete Gold + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Everyday Bronze + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Elite Bronze + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Everyday Bronze with Atrium Health + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Elite Bronze with Atrium Health + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Focused Silver with Atrium Health + Vision + Adult Dental via halcinonide	Tier 2 - Generic	✓	—	—	PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options via halcinonide	Tier 2 - Generic	✓	—	—	PA
Everyday Bronze via halcinonide	Tier 2 - Generic	✓	—	—	PA
Elite Bronze via halcinonide	Tier 2 - Generic	✓	—	—	PA
Clear Silver with $0 Insulin Options via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Expanded Bronze via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Silver via halcinonide	Tier 2 - Generic	✓	—	—	PA
Standard Gold via halcinonide	Tier 2 - Generic	✓	—	—	PA
Everyday Bronze with Atrium Health via halcinonide	Tier 2 - Generic	✓	—	—	PA
Everyday Bronze with Atrium Health	Tier 4 - Non-Preferred	✓	—	—	PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options	Tier 4 - Non-Preferred	✓	—	—	PA
Clear Silver with $0 Insulin Options	Tier 4 - Non-Preferred	✓	—	—	PA
Complete Gold	Tier 4 - Non-Preferred	✓	—	—	PA
Everyday Bronze	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Expanded Bronze	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Silver	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Gold	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze with Atrium Health	Tier 4 - Non-Preferred	✓	—	—	PA
Focused Silver with Atrium Health	Tier 4 - Non-Preferred	✓	—	—	PA
Complete Gold with Atrium Health	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Expanded Bronze with Atrium Health	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Silver with Atrium Health	Tier 4 - Non-Preferred	✓	—	—	PA
Focused Silver with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Complete Gold with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Expanded Bronze + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Silver + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Gold + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Silver with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Gold with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Standard Gold with Atrium Health	Tier 4 - Non-Preferred	✓	—	—	PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Complete Gold + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Everyday Bronze + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Everyday Bronze with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA
Elite Bronze with Atrium Health + Vision + Adult Dental	Tier 4 - Non-Preferred	✓	—	—	PA

AmeriHealth Caritas NC

10 plans

Source: CMS QHP JSON · Checked: 20 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas Next Silver Signature + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Bronze Premier + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Gold Premier + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Bronze Essential + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Gold Signature + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Silver Premier + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Bronze Signature + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST
AmeriHealth Caritas Next Silver Essential + No Referrals via halcinonide	Tier 2 - Generic	—	✓	—	ST

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 20 hours, 52 minutes ago

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

NC State Health Plan

3 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 20 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 via halcinonide	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026 via halcinonide	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via halcinonide	Tier 1 - Preferred Generic	—	—	—	None

Oscar Health

28 plans

Source: CMS QHP JSON · Checked: 20 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Simple Chronic Care CKM \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Simple Diabetes \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Simple Chronic Care CKM \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
AIAN Cost Share via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
AIAN Cost Share \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Gold Classic Standard \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Classic via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Secure via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Classic 4700 via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Simple PCP Saver via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Gold Elite Saver Plus via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Simple Diabetes via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Secure \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Classic 4700 \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Elite + PCP Saver Plus \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Classic \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Simple Diabetes \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Simple PCP Saver \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Gold Elite Saver Plus \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Elite + PCP Saver Plus via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Classic Standard via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Classic Standard via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Gold Classic Standard via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Bronze Classic Standard \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL
Silver Classic Standard \| with Atrium Health via halcinonide	Tier 4 - Non-Preferred	—	—	✓	QL

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 20 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via halcinonide	Tier 3 - Non-Formulary	✓	—	—	PA