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 |
|---|---|---|---|---|---|
|
Complete Gold
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Gold
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Gold with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Gold + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Streamlined Silver with Atrium Health
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Streamlined Silver
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via lincomycin |
Tier 2 - Generic | — | — | — | None |
NC Medicaid PDL
2 plansNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - HDHP 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |