Patanase

Generic: olopatadine

Nasal Spray

Intranasal Rhinitis Agents

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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.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 7 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold
via olopatadine 		Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options
via olopatadine 		Tier 2 - Generic — — — None
Everyday Bronze
via olopatadine 		Tier 2 - Generic — — — None
Elite Bronze
via olopatadine 		Tier 2 - Generic — — — None
Clear Silver with $0 Insulin Options
via olopatadine 		Tier 2 - Generic — — — None
Signature Expanded Bronze
via olopatadine 		Tier 2 - Generic — — — None
Signature Silver
via olopatadine 		Tier 2 - Generic — — — None
Signature Gold
via olopatadine 		Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Elite Bronze with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Focused Silver with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Complete Gold with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Signature Expanded Bronze with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Signature Silver with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Signature Gold with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Complete Gold + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Everyday Bronze + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Elite Bronze + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Focused Silver with Atrium Health + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Signature Expanded Bronze + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Signature Silver + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Signature Gold + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Signature Silver with Atrium Health + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Signature Gold with Atrium Health + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Enhanced CHF Heart Care Silver $0 Rx Options
via olopatadine 		Tier 2 - Generic — — — None
Streamlined Silver with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Streamlined Silver
via olopatadine 		Tier 2 - Generic — — — None
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via olopatadine 		Tier 2 - Generic — — — None
Complete Gold
via Pataday 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Pataday 		Tier 2 - Generic — — ✓ QL
Everyday Bronze
via Pataday 		Tier 2 - Generic — — ✓ QL
Elite Bronze
via Pataday 		Tier 2 - Generic — — ✓ QL
Clear Silver with $0 Insulin Options
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Silver
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Gold
via Pataday 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Silver with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Gold with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Complete Gold + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Everyday Bronze + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Elite Bronze + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Silver + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Gold + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Silver with Atrium Health + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Signature Gold with Atrium Health + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options
via Pataday 		Tier 2 - Generic — — ✓ QL
Streamlined Silver with Atrium Health
via Pataday 		Tier 2 - Generic — — ✓ QL
Streamlined Silver
via Pataday 		Tier 2 - Generic — — ✓ QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Pataday 		Tier 2 - Generic — — ✓ QL
Source: CMS QHP JSON  ·  Formulary date: Sep 22, 2026  ·  Checked: 7 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 1 - Preferred Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 2 - Generic — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via olopatadine 		Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Oct 7, 2026  ·  Checked: 7 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect myDiabetesCare Silver
via olopatadine 		Tier 2 - Generic — — — None
Connect Gold CMS Standard
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver CMS Standard
via olopatadine 		Tier 2 - Generic — — — None
Connect Bronze CMS Standard
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver 3000 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver 3600 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver 5000 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Bronze 5500 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Bronze 6500 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect myDiabetesCare Bronze
via olopatadine 		Tier 2 - Generic — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Gold RD CMS Standard
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver RD 2200 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver RD CMS Standard
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver RD 5000 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Silver RD 3500 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Bronze RD CMS Standard
via olopatadine 		Tier 2 - Generic — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Connect Gold 1500 Indiv Med Deductible
via olopatadine 		Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 7 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via olopatadine 		Preferred — ✓ — ST
Source: CMS QHP JSON  ·  Checked: 7 hours, 20 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Classic | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Silver Simple Diabetes | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Silver Simple PCP Saver | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Gold Elite Saver Plus | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Bronze Simple Diabetes | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
AIAN Cost Share
via olopatadine 		Tier 2 - Generic — — — None
AIAN Cost Share | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus
via olopatadine 		Tier 2 - Generic — — — None
Silver Classic
via olopatadine 		Tier 2 - Generic — — — None
Secure
via olopatadine 		Tier 2 - Generic — — — None
Bronze Classic 4700
via olopatadine 		Tier 2 - Generic — — — None
Silver Simple PCP Saver
via olopatadine 		Tier 2 - Generic — — — None
Gold Elite Saver Plus
via olopatadine 		Tier 2 - Generic — — — None
Silver Simple Diabetes
via olopatadine 		Tier 2 - Generic — — — None
Bronze Classic Standard
via olopatadine 		Tier 2 - Generic — — — None
Silver Classic Standard
via olopatadine 		Tier 2 - Generic — — — None
Gold Classic Standard
via olopatadine 		Tier 2 - Generic — — — None
Bronze Classic Standard | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Silver Classic Standard | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Gold Classic Standard | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Secure | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Bronze Classic 4700 | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via olopatadine 		Tier 2 - Generic — — — None
Bronze Classic 4700
via Pataday 		Tier 3 - Preferred Brand — — — None
Secure
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Classic
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Elite + PCP Saver Plus
via Pataday 		Tier 3 - Preferred Brand — — — None
AIAN Cost Share | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
AIAN Cost Share
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Simple Diabetes | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Secure | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Classic 4700 | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Classic | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Simple Diabetes | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Simple PCP Saver | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Gold Elite Saver Plus | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Gold Classic Standard | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Classic Standard | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Classic Standard | with Atrium Health
via Pataday 		Tier 3 - Preferred Brand — — — None
Gold Classic Standard
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Classic Standard
via Pataday 		Tier 3 - Preferred Brand — — — None
Bronze Classic Standard
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Simple Diabetes
via Pataday 		Tier 3 - Preferred Brand — — — None
Gold Elite Saver Plus
via Pataday 		Tier 3 - Preferred Brand — — — None
Silver Simple PCP Saver
via Pataday 		Tier 3 - Preferred Brand — — — None
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