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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 Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via esomeprazole magnesium |
Tier 2 - Generic | — | ✓ | — | ST |
NC Medicaid PDL
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC Medicaid Preferred Drug List 2026
via esomeprazole magnesium |
Preferred | — | — | — | None |
|
NC Medicaid Preferred Drug List 2026
via Nexium Rx Packet |
Preferred | — | — | — | None |
| NC Medicaid Preferred Drug List 2026 | Non-Preferred | — | — | — | None |