Menactra
Generic: Neisseria meningitidis serogroup A capsular polysaccharide diphtheria toxoid protein conjugate vaccine
0.104 MG — Solution
Inactivated Meningococcal Vaccine
Also known as:
Neisseria meningitidis serogroup A capsular polysaccharide diphtheria toxoid protein conjugate vaccine
Menactra Intramuscular Solution
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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.
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Silver Essential + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Premier + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Brand-Preferred | — | — | — | None |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Silver Simple PCP Saver | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Elite Saver Plus | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Diabetes | Tier 0 - $0 Preventive | — | — | — | None |
| Secure | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic 4700 | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Elite + PCP Saver Plus | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Classic | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Diabetes | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple PCP Saver | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic Standard | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Simple Chronic Care CKM | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Simple Diabetes | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Chronic Care CKM | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Simple Women's Health with Menopause Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| AIAN Cost Share | Tier 0 - $0 Preventive | — | — | — | None |
| AIAN Cost Share | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Elite Saver Plus | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Classic Standard | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Classic Standard | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Gold Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Elite + PCP Saver Plus | Tier 0 - $0 Preventive | — | — | — | None |
| Silver Classic | Tier 0 - $0 Preventive | — | — | — | None |
| Secure | Tier 0 - $0 Preventive | — | — | — | None |
| Bronze Classic 4700 | Tier 0 - $0 Preventive | — | — | — | None |