Prolaxa

Generic: docusate sodium

250 MG — Capsule

Also known as: docusate sodium

Coverage by Insurer

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

Ambetter (Centene)

102 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 12 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Complete Gold via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver $0 Rx Options via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Clear Silver with $0 Insulin Options via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Focused Silver with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Complete Gold with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Complete Gold + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze with Atrium Health + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze with Atrium Health + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver with Atrium Health + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold with Atrium Health + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Enhanced CHF Heart Care Silver $0 Rx Options via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Streamlined Silver with Atrium Health via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Streamlined Silver via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Clear Silver with $0 Insulin Options + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via docusate sodium	Tier 1 - Preferred Generic	—	—	—	None
Complete Gold via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Focused Silver with Atrium Health + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold with Atrium Health + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Silver with Atrium Health + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Signature Gold with Atrium Health + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver with Atrium Health via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Streamlined Silver via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via Colace	Tier 1 - Preferred Generic	—	—	✓	QL
Complete Gold	Tier 1 - Preferred Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver $0 Rx Options	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze	Tier 1 - Preferred Generic	—	—	—	None
Clear Silver with $0 Insulin Options	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Focused Silver with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Complete Gold with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Complete Gold + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Everyday Bronze with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Elite Bronze with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Signature Silver with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Signature Gold with Atrium Health + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Enhanced CHF Heart Care Silver $0 Rx Options	Tier 1 - Preferred Generic	—	—	—	None
Streamlined Silver with Atrium Health	Tier 1 - Preferred Generic	—	—	—	None
Streamlined Silver	Tier 1 - Preferred Generic	—	—	—	None
Clear Silver with $0 Insulin Options + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental	Tier 1 - Preferred Generic	—	—	—	None