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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.
NC Medicaid PDL
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC Medicaid Preferred Drug List 2026
via esomeprazole magnesium |
Preferred | — | ✓ | — | ST |
| NC Medicaid Preferred Drug List 2026 | Preferred | — | ✓ | — | ST |
|
NC Medicaid Preferred Drug List 2026
via Nexium Rx |
Non-Preferred | — | ✓ | — | ST |