naloxone syringe / spray

Vial

Opioid Antagonists

Also known as: Narcan
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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.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 15 hours, 16 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Signature Expanded Bronze with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Clear Silver with $0 Insulin Options
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Expanded Bronze
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Silver
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Gold
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Focused Silver with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Silver with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Gold with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Expanded Bronze + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Silver + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Gold + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Silver with Atrium Health + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Signature Gold with Atrium Health + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Streamlined Silver with Atrium Health
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Streamlined Silver
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Narcan 		Tier 4 - Non-Preferred — — ✓ QL
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 15 hours, 16 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Preferred — — — None
NC Medicaid Preferred Drug List 2026
via Narcan 		Preferred — — — None
Source: PDF  ·  Formulary date: Sep 23, 2026  ·  Checked: 15 hours, 15 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Narcan 		Tier 0 - $0 Preventive — — — None
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