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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Blue Cross Blue Shield Federal
2 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Standard Option 2026
via Humatin |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Basic Option 2026
via Humatin |
Tier 3 - Non-Preferred Brand | — | — | — | None |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Local 2026
via Humatin |
Tier 4 - Higher Cost Brand | — | — | — Limited Distribution | None |
|
BCBSNC Blue Value 2026
via Humatin |
Tier 4 - Higher Cost Brand | — | — | — Limited Distribution | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Humatin |
Tier 4 - Higher Cost Brand | — | — | — Limited Distribution | None |
|
BCBSNC Blue Advantage 2026
via Humatin |
Tier 4 - Higher Cost Brand | — | — | — Limited Distribution | None |
|
BCBSNC Blue Care 2026
via Humatin |
Tier 4 - Higher Cost Brand | — | — | — Limited Distribution | None |
Medicare Part D
53 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via Humatin |
Tier 1 - Preferred Generic | — | — | — | None |
|
Provider Partners North Carolina Community Plan (HMO I-SNP)
via Humatin |
Tier 1 - Preferred Generic | — | — | — | None |
|
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via Humatin |
Tier 1 - Preferred Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Erickson Advantage Signature (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Erickson Advantage Guardian (HMO-POS I-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Erickson Advantage Freedom (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Erickson Advantage Liberty (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Complete Care NC-25 (HMO-POS C-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Complete Care NC-27 (HMO-POS C-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Complete Care NC-28 (HMO-POS C-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Erickson Advantage Champion (HMO-POS C-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Blue Medicare PPO Enhanced (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Blue Medicare Essential Plus (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Blue Medicare Enhanced (HMO-POS)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Blue Medicare Choice (HMO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Blue Medicare Essential (HMO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Experience Health Medicare Advantage (HMO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Healthy Blue + Medicare (HMO-POS D-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Alignment Health Platinum (HMO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Alignment Health NC Duals (HMO-POS D-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Alignment Health smartHMO (HMO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Alignment Health Platinum Select (HMO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Dual Complete NC-S001 (PPO D-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
UHC Dual Complete NC-S2 (PPO D-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0001 (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0004 (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0016 (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0017 (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0019 (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
HealthTeam Advantage Plan I (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
HealthTeam Advantage Plan II (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
HealthTeam Advantage Vitality Plan (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
|
Alignment Health AVA (PPO)
via Humatin |
Tier 5 - Specialty | — | — | — | None |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - HDHP 2026
via Humatin |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Humatin |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Humatin |
Not Covered | — | — | — | None |