memantine tablet / titration

Pack

Also known as: Namenda

Coverage by Insurer

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

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 13 hours, 14 minutes ago

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

Oscar Health

28 plans

Source: CMS QHP JSON · Checked: 13 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Bronze Classic Standard via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Classic Standard via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Gold Classic Standard via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Classic Standard \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Classic Standard \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Gold Classic Standard \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Elite + PCP Saver Plus via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Classic via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Secure via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Classic 4700 via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Simple PCP Saver via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Gold Elite Saver Plus via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Simple Diabetes via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Secure \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Classic 4700 \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Elite + PCP Saver Plus \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Classic \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Simple Diabetes \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Simple PCP Saver \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Gold Elite Saver Plus \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Simple Chronic Care CKM \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Bronze Simple Diabetes \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Simple Chronic Care CKM \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
AIAN Cost Share via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA
AIAN Cost Share \| with Atrium Health via Namenda	Tier 3 - Preferred Brand	✓	—	—	PA