nisoldipine tb24
Generic: nisoldipine
17mg, 20mg, 30mg, 34mg, 40mg
Dihydropyridine Calcium Channel Blocker
Also known as:
nisoldipine tb24 8.5mg, 25.5mg
nisoldipine tb24 17mg, 20mg, 30mg, 34mg, 40mg
nisoldipine tb24 8.5mg
nisoldipine tb24 17mg, 34mg
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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.
Ambetter (Centene)
34 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Signature Gold with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Streamlined Silver
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Streamlined Silver with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver with Atrium Health
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Gold + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Expanded Bronze
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Silver
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Signature Gold
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via nisoldipine |
Tier 2 - Generic | — | — | — | None |
Blue Cross Blue Shield Federal
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Standard Option 2026
via nisoldipine |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Basic Option 2026
via nisoldipine |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Focus 2026
via nisoldipine |
Tier 1 - Generic | — | — | — | None |
Medicare Part D
44 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
Alignment Health Platinum Select (HMO)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
Alignment Health Platinum (HMO)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
Alignment Health AVA (PPO)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
Alignment Health NC Duals (HMO-POS D-SNP)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
Alignment Health smartHMO (HMO)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
Aetna Medicare Signature Giveback (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Dual (HMO D-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Value Plus (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Prime (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature Care (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Full Dual Care (HMO D-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Chronic Care (HMO C-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Enhanced (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Chronic Care Value (HMO C-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Blue Medicare PPO Enhanced (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Blue Medicare Essential Plus (HMO-POS)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Blue Medicare Enhanced (HMO-POS)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Blue Medicare Choice (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Blue Medicare Essential (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Experience Health Medicare Advantage (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED CORE 001 NC (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED GIVEBACK 002 NC (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED DUAL 009 NC (HMO D-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
DEVOTED GIVEBACK 012 NC (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Enhanced (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Enhanced (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature Extra (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
HealthSpring True Choice (PPO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
Healthy Blue + Medicare (HMO-POS D-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
HealthSpring TotalCare (HMO D-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
HealthSpring Preferred (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
HealthSpring TotalCare Plus (HMO D-SNP)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
HealthSpring Preferred Select (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
HealthSpring Preferred Savings (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
|
HealthSpring Preferred Plus (HMO)
via nisoldipine |
Tier 4 - Non-Preferred | — | — | — | None |
NC Medicaid PDL
1 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Tier 2 - Non-Preferred Generic | — | — | — | None |
UnitedHealthcare
17 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |
|
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via nisoldipine |
Tier 3 - Preferred Brand | — | — | — | None |