Odactra

Generic: dust mite mixed ext sl

Sublingual Tablet

BIOLOGICALS MISC

Also known as: American house dust mite allergenic extract

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: 17 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Local 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Care 2026 Tier 4 - Higher Cost Brand None
BCBSNC Blue Value 2026 Tier 4 - Higher Cost Brand None
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 17 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
HealthTeam Advantage Plan I (PPO) Tier 3 - Preferred Brand 30 per 30 days PA | QL
HealthTeam Advantage Plan II (PPO) Tier 3 - Preferred Brand 30 per 30 days PA | QL
HealthTeam Advantage Vitality Plan (PPO) Tier 3 - Preferred Brand 30 per 30 days PA | QL
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) Tier 3 - Preferred Brand 30 per 30 days PA | QL
Something not right?