Olmesartan

20 Mg — Tablet

Also known as: Benicar Olmesartan 5 Mg Tablet Olmesartan 20 Mg Tablet Olmesartan 40 Mg Tablet

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via Benicar	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026 via Benicar	Tier 3 - Non-Preferred Brand	—	—	—	None

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026 via Benicar	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Care 2026 via Benicar	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Value 2026 via Benicar	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Local 2026 via Benicar	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Advantage 2026 via Benicar	Tier 1 - Lowest Cost Generic	—	—	—	None

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	—	—	None
NC Medicaid Preferred Drug List 2026 via Benicar	Non-Preferred	—	—	—	None

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 via Benicar	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Benicar	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Benicar	Not Covered	—	—	—	None