Pramosone

Generic: pramoxine

2.5% — Cream

Also known as: PRAMOSONE CRE 1-1% PRAMOSONE LOT 1-1% PRAMOSONE LOT 2.5% PRAMOSONE LOT 1% PRAMOSONE OIN 1% PRAMOSONE OIN 2.5%

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

10 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 17 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via Proctofoam	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Focus 2026 via Proctofoam	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026 via Epifoam	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Focus 2026 via Epifoam	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026 via Proctofoam	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026 via Epifoam	Tier 2 - Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026 via Analpram Hc	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026 via Analpram Hc	Tier 3 - Non-Preferred Brand	—	—	—	None

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 17 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via Epifoam	Tier 3 - Non-Preferred	—	—	—	None

12 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 17 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Proctofoam	Tier 2 - Non-Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Proctofoam	Tier 2 - Non-Preferred Generic	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Proctofoam	Tier 2 - Non-Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Analpram Hc	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Analpram Hc	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026 via Analpram Hc	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Epifoam	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Epifoam	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026 via Epifoam	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Tier 3 - Non-Preferred Brand	—	—	—	None