Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Ambetter (Centene)
58 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Clear Silver with $0 Insulin Options
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold with Atrium Health
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver with Atrium Health
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze with Atrium Health
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold with Atrium Health
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Focused Silver with Atrium Health
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold with Atrium Health
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver with Atrium Health
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze with Atrium Health
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Complete Gold with Atrium Health
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Focused Silver with Atrium Health
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Silver
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Standard Expanded Bronze
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Evexithroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
|
Elite Bronze
via Armour Thyroid |
Tier 3 - Preferred Brand | — | — | ✓ | QL |
Blue Cross Blue Shield Federal
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Focus 2026
via Thyroid |
Tier 2 - Preferred Brand | — | — | — | None |
|
BCBS Federal Focus 2026
via Armour Thyroid |
Tier 2 - Preferred Brand | — | — | — | None |
|
BCBS Federal Basic Option 2026
via Armour Thyroid |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Standard Option 2026
via Armour Thyroid |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Standard Option 2026
via Thyroid |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Basic Option 2026
via Thyroid |
Tier 3 - Non-Preferred Brand | — | — | — | None |
Blue Cross Blue Shield of NC
50 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Care 2026
via Np Thyroid 90 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Np Thyroid 90 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Np Thyroid 90 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Np Thyroid 90 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Np Thyroid 60 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Np Thyroid 60 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Np Thyroid 60 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Np Thyroid 60 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Np Thyroid 60 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Np Thyroid 30 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Np Thyroid 30 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Np Thyroid 30 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Np Thyroid 30 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Np Thyroid 30 |
Tier 3 - High Cost Brand | — | — | — | None |
| BCBSNC Blue Value 2026 | Tier 3 - High Cost Brand | — | — | — | None |
| BCBSNC Blue Care 2026 | Tier 3 - High Cost Brand | — | — | — | None |
| BCBSNC Blue Local 2026 | Tier 3 - High Cost Brand | — | — | — | None |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 3 - High Cost Brand | — | — | — | None |
| BCBSNC Blue Advantage 2026 | Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Np Thyroid 120 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Np Thyroid 120 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Np Thyroid 120 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Np Thyroid 120 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Np Thyroid 120 |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Niva Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Niva Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Niva Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Niva Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Niva Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Evexithroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Evexithroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Evexithroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Evexithroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Evexithroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Armour Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Armour Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Armour Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Armour Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Armour Thyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Renthyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via Renthyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via Renthyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Renthyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Renthyroid |
Tier 3 - High Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via Np Thyroid 90 |
Tier 3 - High Cost Brand | — | — | — | None |
Cigna
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Cigna Plus NC 4-Tier Formulary 2026
via Niva Thyroid |
Tier 1 - Generic | — | — | — | None |
|
Cigna Plus NC 4-Tier Formulary 2026
via Thyroid |
Tier 1 - Generic | — | — | — | None |
|
Cigna Plus NC 4-Tier Formulary 2026
via Armour Thyroid |
Tier 2 - Preferred Brand | — | — | — | None |
NC State Health Plan
27 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via Np Thyroid 30 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Np Thyroid 30 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Np Thyroid 30 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Np Thyroid 60 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Np Thyroid 60 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Np Thyroid 60 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Np Thyroid 90 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Np Thyroid 90 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Np Thyroid 90 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Np Thyroid 120 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Np Thyroid 120 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Np Thyroid 120 |
Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Armour Thyroid |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Armour Thyroid |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Armour Thyroid |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Renthyroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Thyroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Thyroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Renthyroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Renthyroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Thyroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Evexithroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Evexithroid |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Evexithroid |
Not Covered | — | — | — | None |
UnitedHealthcare
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
UnitedHealthcare NC Individual & Family 2026
via Niva Thyroid |
Tier 4 - Higher Cost | — | — | — | None |
|
UnitedHealthcare NC Individual & Family 2026
via Thyroid |
Tier 4 - Higher Cost | — | — | — | None |
|
UnitedHealthcare NC Individual & Family 2026
via Armour Thyroid |
Tier 4 - Higher Cost | — | — | — | None |