Osmitrol

Generic: mannitol

50000 MG

Also known as: mannitol

Coverage by Insurer

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

Ambetter (Centene)

29 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 6 hours, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Standard Expanded Bronze + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Standard Gold with Atrium Health + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Complete Gold via mannitol	Tier 2 - Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options via mannitol	Tier 2 - Generic	—	—	—	None
Everyday Bronze via mannitol	Tier 2 - Generic	—	—	—	None
Elite Bronze via mannitol	Tier 2 - Generic	—	—	—	None
Clear Silver with $0 Insulin Options via mannitol	Tier 2 - Generic	—	—	—	None
Standard Expanded Bronze via mannitol	Tier 2 - Generic	—	—	—	None
Standard Silver via mannitol	Tier 2 - Generic	—	—	—	None
Standard Gold via mannitol	Tier 2 - Generic	—	—	—	None
Everyday Bronze with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Elite Bronze with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Focused Silver with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Complete Gold with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Standard Expanded Bronze with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Standard Silver with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Standard Gold + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Standard Silver with Atrium Health + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Standard Silver + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Standard Gold with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Complete Gold + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Everyday Bronze + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Elite Bronze + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Everyday Bronze with Atrium Health + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Elite Bronze with Atrium Health + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental via mannitol	Tier 2 - Generic	—	—	—	None

Blue Cross Blue Shield Federal

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 6 hours, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via Bronchitol	Tier 5 - Non-Preferred Specialty	✓	—	—	PA
BCBS Federal Basic Option 2026 via Bronchitol	Tier 5 - Non-Preferred Specialty	✓	—	—	PA

NC State Health Plan

6 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 6 hours, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via mannitol	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026 via mannitol	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via mannitol	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Bronchitol	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Bronchitol	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Bronchitol	Not Covered	—	—	—	None

Oscar Health

56 plans

Source: CMS QHP JSON · Checked: 6 hours, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Secure via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 via mannitol	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver via mannitol	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus via mannitol	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes via mannitol	Tier 2 - Generic	—	—	—	None
Secure \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Silver Classic \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Simple Chronic Care CKM \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Simple Diabetes \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Silver Simple Chronic Care CKM \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
AIAN Cost Share via mannitol	Tier 2 - Generic	—	—	—	None
AIAN Cost Share \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard	Tier 2 - Generic	—	—	—	None
Silver Classic Standard	Tier 2 - Generic	—	—	—	None
Gold Classic Standard	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Gold Classic Standard \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus	Tier 2 - Generic	—	—	—	None
Silver Classic	Tier 2 - Generic	—	—	—	None
Secure	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes	Tier 2 - Generic	—	—	—	None
Secure \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Classic 4700 \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Classic \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Diabetes \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple PCP Saver \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Gold Elite Saver Plus \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Simple Chronic Care CKM \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Simple Diabetes \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Breathe Easy with Enhanced COPD Benefits \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Chronic Care CKM \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Silver Simple Women's Health with Menopause Benefits \| with Atrium Health	Tier 2 - Generic	—	—	—	None
AIAN Cost Share	Tier 2 - Generic	—	—	—	None
AIAN Cost Share \| with Atrium Health	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard via mannitol	Tier 2 - Generic	—	—	—	None
Silver Classic Standard via mannitol	Tier 2 - Generic	—	—	—	None
Gold Classic Standard via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Classic Standard \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Silver Classic Standard \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Gold Classic Standard \| with Atrium Health via mannitol	Tier 2 - Generic	—	—	—	None
Bronze Elite + PCP Saver Plus via mannitol	Tier 2 - Generic	—	—	—	None
Silver Classic via mannitol	Tier 2 - Generic	—	—	—	None

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: May 29, 2026 · Checked: 6 hours, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via mannitol	Tier 3 - Non-Formulary	✓	—	—	PA