Loperamide

Generic: loperamide hcl

2 Mg — Capsule

Also known as: Loperamide 2 Mg Capsule

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

10 plans

Source: CMS QHP JSON · Checked: 15 hours, 16 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas Next Silver Essential + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Bronze Signature + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Signature + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Bronze Essential + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Gold Signature + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Bronze Premier + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Gold Premier + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Premier + No Referrals via loperamide hcl	Tier 2 - Generic	—	—	—	None

3 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 15 hours, 16 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via loperamide hcl	Tier 1 - Generic	—	—	—	None
BCBS Federal Basic Option 2026 via loperamide hcl	Tier 1 - Generic	—	—	—	None
BCBS Federal Focus 2026 via loperamide hcl	Tier 1 - Generic	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 15 hours, 16 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via loperamide hcl	Tier 1 - Basic Core Formulary	—	—	—	None