nifedipine er

Generic: nifedipine

Calcium Channel Blocking Agents

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: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Elite Bronze with Atrium Health
via nifedipine
Tier 2 - Generic QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Gold with Atrium Health + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Silver with Atrium Health + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Gold + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Silver + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Silver with Atrium Health
via nifedipine
Tier 2 - Generic QL
Standard Gold with Atrium Health
via nifedipine
Tier 2 - Generic QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Focused Silver with Atrium Health + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Complete Gold with Atrium Health + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Expanded Bronze + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Everyday Bronze with Atrium Health
via nifedipine
Tier 2 - Generic QL
Complete Gold with Atrium Health
via nifedipine
Tier 2 - Generic QL
Focused Silver with Atrium Health
via nifedipine
Tier 2 - Generic QL
Standard Expanded Bronze with Atrium Health
via nifedipine
Tier 2 - Generic QL
Elite Bronze + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Standard Gold
via nifedipine
Tier 2 - Generic QL
Standard Silver
via nifedipine
Tier 2 - Generic QL
Standard Expanded Bronze
via nifedipine
Tier 2 - Generic QL
Clear Silver with $0 Insulin Options
via nifedipine
Tier 2 - Generic QL
Elite Bronze
via nifedipine
Tier 2 - Generic QL
Everyday Bronze
via nifedipine
Tier 2 - Generic QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via nifedipine
Tier 2 - Generic QL
Complete Gold
via nifedipine
Tier 2 - Generic QL
Everyday Bronze + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Complete Gold + Vision + Adult Dental
via nifedipine
Tier 2 - Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via nifedipine
Tier 1 - Generic None
BCBS Federal Focus 2026
via nifedipine
Tier 1 - Generic None
BCBS Federal Basic Option 2026
via nifedipine
Tier 1 - Generic None
BCBS Federal Standard Option 2026
via Procardia XL
Tier 3 - Non-Preferred Brand None
BCBS Federal Basic Option 2026
via Procardia XL
Tier 3 - Non-Preferred Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via nifedipine
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Home with UNC Health Alliance 2026
via nifedipine
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Local 2026
via nifedipine
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Care 2026
via nifedipine
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Value 2026
via nifedipine
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Advantage 2026
via Procardia XL
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Home with UNC Health Alliance 2026
via Procardia XL
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Local 2026
via Procardia XL
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Value 2026
via Procardia XL
Tier 1 - Lowest Cost Generic None
BCBSNC Blue Care 2026
via Procardia XL
Tier 1 - Lowest Cost Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026
via nifedipine
Tier 1 - Generic None
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Dual Complete NC-S001 (PPO D-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Dual Complete NC-S2 (PPO D-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0001 (PPO)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0004 (PPO)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0016 (PPO)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0017 (PPO)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0019 (PPO)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
Erickson Advantage Signature (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
Erickson Advantage Guardian (HMO-POS I-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
Erickson Advantage Freedom (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
Erickson Advantage Liberty (HMO-POS)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Complete Care NC-25 (HMO-POS C-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Complete Care NC-27 (HMO-POS C-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
UHC Complete Care NC-28 (HMO-POS C-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
Erickson Advantage Champion (HMO-POS C-SNP)
via nifedipine
Tier 1 - Preferred Generic 60 per 30 days QL
Aetna Medicare Chronic Care (HMO C-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Aetna Medicare Chronic Care Value (HMO C-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Longevity Health Plan (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
NHC Advantage (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
PruittHealth Premier (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Liberty Medicare Dual Plan (HMO D-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Liberty Medicare Advantage (HMO C-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Provider Partners North Carolina Community Plan (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Senior Care (HMO I-SNP)
via nifedipine
Tier 1 - Preferred Generic None
Alignment Health Platinum Select (HMO)
via nifedipine
Tier 2 - Generic None
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via nifedipine
Tier 2 - Generic None
Alignment Health AVA (PPO)
via nifedipine
Tier 2 - Generic None
HealthTeam Advantage Plan I (PPO)
via nifedipine
Tier 2 - Generic None
HealthTeam Advantage Plan II (PPO)
via nifedipine
Tier 2 - Generic None
HealthTeam Advantage Vitality Plan (PPO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature (PPO)
via nifedipine
Tier 2 - Generic None
Troy Medicare (HMO)
via nifedipine
Tier 2 - Generic PA
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via nifedipine
Tier 2 - Generic PA
AmeriHealth Caritas VIP Care (HMO D-SNP)
via nifedipine
Tier 2 - Generic PA
Aetna Medicare Enhanced (PPO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Enhanced (PPO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature (PPO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Enhanced (HMO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Full Dual Care (HMO D-SNP)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature Care (HMO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Prime (HMO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Value Plus (HMO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature (HMO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Dual (HMO D-SNP)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature (HMO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature (PPO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature Giveback (PPO)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature (PPO)
via nifedipine
Tier 2 - Generic None
Wellcare Dual Reserve (HMO-POS D-SNP)
via nifedipine
Tier 2 - Generic None
Wellcare Dual Liberty (HMO-POS D-SNP)
via nifedipine
Tier 2 - Generic None
Wellcare Dual Liberty Open (PPO D-SNP)
via nifedipine
Tier 2 - Generic None
Wellcare Assist Open (PPO)
via nifedipine
Tier 2 - Generic None
Wellcare Dual Access (HMO-POS D-SNP)
via nifedipine
Tier 2 - Generic None
Aetna Medicare Signature Extra (PPO)
via nifedipine
Tier 2 - Generic None
Wellcare Simple Open (PPO)
via nifedipine
Tier 2 - Generic None
Wellcare Simple (HMO-POS)
via nifedipine
Tier 2 - Generic None
Wellcare Giveback Open (PPO)
via nifedipine
Tier 2 - Generic None
Blue Medicare PPO Enhanced (PPO)
via nifedipine
Tier 2 - Generic None
Blue Medicare Essential Plus (HMO-POS)
via nifedipine
Tier 2 - Generic None
Blue Medicare Enhanced (HMO-POS)
via nifedipine
Tier 2 - Generic None
Blue Medicare Choice (HMO)
via nifedipine
Tier 2 - Generic None
Blue Medicare Essential (HMO)
via nifedipine
Tier 2 - Generic None
Experience Health Medicare Advantage (HMO)
via nifedipine
Tier 2 - Generic None
Healthy Blue + Medicare (HMO-POS D-SNP)
via nifedipine
Tier 2 - Generic None
Alignment Health Platinum (HMO)
via nifedipine
Tier 2 - Generic None
Alignment Health NC Duals (HMO-POS D-SNP)
via nifedipine
Tier 2 - Generic None
Alignment Health smartHMO (HMO)
via nifedipine
Tier 2 - Generic None
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via nifedipine
Tier 2 - Generic None
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
via nifedipine
Tier 3 - Preferred Brand None
HealthSpring Preferred (HMO)
via nifedipine
Tier 3 - Preferred Brand None
HealthSpring Preferred Select (HMO)
via nifedipine
Tier 3 - Preferred Brand None
HealthSpring Preferred Savings (HMO)
via nifedipine
Tier 3 - Preferred Brand None
HealthSpring Preferred Plus (HMO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED DUAL FULL 013 NC (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED DUAL 009 NC (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CORE 001 NC (HMO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED GIVEBACK 002 NC (HMO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED GIVEBACK 012 NC (HMO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE 001 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE GIVEBACK 002 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE 003 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE GIVEBACK 004 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE 005 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE GIVEBACK 006 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE 008 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
DEVOTED CHOICE GIVEBACK 009 NC (PPO)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H6622-025 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H6622-026 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Dual Select H6622-027 (HMO-POS D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H6622-057 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H6622-060 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice H5525-049 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice H5525-050 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice H5525-070 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
Humana Dual Select H5525-072 (PPO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice H5525-083 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
HealthSpring True Choice (PPO)
via nifedipine
Tier 3 - Preferred Brand None
HealthSpring TotalCare (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
HealthSpring TotalCare Plus (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H6622-061 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Choice H8145-004 (PFFS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H1036-137 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H1036-233 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Dual Select H1036-307 (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus Giveback H1036-318 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP)
via nifedipine
Tier 3 - Preferred Brand None
Humana Gold Plus H1036-335 (HMO-POS)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice Giveback H5216-017 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice H5216-211 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
Humana Full Access H5525-034 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
HumanaChoice Giveback H5525-035 (PPO)
via nifedipine
Tier 3 - Preferred Brand None
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via nifedipine
Tier 6 - Specialty Plus None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via nifedipine
Preferred None
NC Medicaid Preferred Drug List 2026
via Procardia XL
Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via nifedipine
Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026
via nifedipine
Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026
via nifedipine
Tier 1 - Preferred Generic None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via nifedipine
Tier 1 - Basic Core Formulary None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 12 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via nifedipine
Tier 2 - Lower Cost None
UnitedHealthcare NC Individual & Family 2026 Unknown QL
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