Nicotine Transdermal Syst

Generic: nicotine td

ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ ANOREXIANTS

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 9 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via nicotine td
Tier A - ACA $0 Copay None
BCBSNC Blue Home with UNC Health Alliance 2026
via nicotine td
Tier A - ACA $0 Copay None
BCBSNC Blue Local 2026
via nicotine td
Tier A - ACA $0 Copay None
BCBSNC Blue Care 2026
via nicotine td
Tier A - ACA $0 Copay None
BCBSNC Blue Value 2026
via nicotine td
Tier A - ACA $0 Copay None
BCBSNC Blue Advantage 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Local 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Care 2026 Tier A - ACA $0 Copay None
BCBSNC Blue Value 2026 Tier A - ACA $0 Copay None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 9 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via nicotine transdermal syst pt24
Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 70/30 Standard PPO 2026
via nicotine transdermal syst pt24
Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - HDHP 2026
via nicotine transdermal syst pt24
Tier 0 - $0 Copay (ACA Preventive) None
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