Mometasone
50 Mcg — Spray
Also known as:
Nasonex
Mometasone 50 Mcg Nasal Spray
Compare Prices
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 Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Everyday Bronze
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Elite Bronze
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Expanded Bronze
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Silver
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Gold
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Focused Silver with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Complete Gold with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Expanded Bronze with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Silver with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Gold with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Complete Gold + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Everyday Bronze + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Elite Bronze + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Expanded Bronze + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Silver + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Gold + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Streamlined Silver with Atrium Health
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Streamlined Silver
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Nasonex |
Tier 2 - Generic | — | — | ✓ | QL |