Oxistat

Generic: oxiconazole

10 MG — Lotion

Also known as: oxiconazole

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

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 11 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Focused Silver with Atrium Health + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Silver + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Gold + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Complete Gold via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Elite Bronze via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Silver via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Gold via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Focused Silver with Atrium Health via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Complete Gold with Atrium Health via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Gold with Atrium Health via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Silver with Atrium Health via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Standard Expanded Bronze with Atrium Health via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via oxiconazole	Tier 2 - Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze	Tier 3 - Preferred Brand	—	—	✓	QL
Clear Silver with $0 Insulin Options	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Expanded Bronze	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Silver	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Gold	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Expanded Bronze + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Silver + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Gold + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Silver with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Gold with Atrium Health + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Expanded Bronze with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Silver with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Standard Gold with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Complete Gold + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental	Tier 3 - Preferred Brand	—	—	✓	QL
Everyday Bronze with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Elite Bronze with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL
Focused Silver with Atrium Health	Tier 3 - Preferred Brand	—	—	✓	QL

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 11 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Care 2026	Tier 2 - Medium Cost Generic/Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 2 - Medium Cost Generic/Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Advantage 2026	Tier 2 - Medium Cost Generic/Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Value 2026	Tier 2 - Medium Cost Generic/Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Local 2026	Tier 2 - Medium Cost Generic/Brand	✓	—	— Restricted Access	PA

NC Medicaid PDL

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 11 hours, 24 minutes ago

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