Propranolol

20 MG/5 ML — Tablet

beta-Adrenergic Blocker

Also known as: Propranolol 20 Mg/5 Ml Oral Solution Propranolol 40 Mg/5 Ml Oral Solution Propranolol 10 Mg Tablet Propranolol 20 Mg Tablet Propranolol 40 Mg Tablet Propranolol 60 Mg Tablet Propranolol 80 Mg Tablet Propranolol Er 60 Mg Capsule Propranolol Er 80 Mg Capsule Propranolol Er 120 Mg Capsule Propranolol Er 160 Mg Capsule

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 21 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Silver RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 4400 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 6000 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 5500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze CMS Standard Tier 2 - Generic None
Connect Gold RD CMS Standard Tier 2 - Generic None
Connect Bronze RD CMS Standard Tier 2 - Generic None
Connect Gold CMS Standard Tier 2 - Generic None
Connect myDiabetesCare Bronze Tier 2 - Generic None
Connect Gold 1500 Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD CMS Standard Tier 2 - Generic None
Connect Silver CMS Standard Tier 2 - Generic None
Connect Bronze 6500 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 2200 Indiv Med Deductible Tier 2 - Generic None
Connect myDiabetesCare Silver Tier 2 - Generic None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 21 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) Tier 1 - Preferred Generic None
UHC Dual Complete NC-S3 (HMO-POS D-SNP) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-24 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-26 (HMO-POS) Tier 1 - Preferred Generic None
Erickson Advantage Signature (HMO-POS) Tier 1 - Preferred Generic None
Erickson Advantage Guardian (HMO-POS I-SNP) Tier 1 - Preferred Generic None
Erickson Advantage Freedom (HMO-POS) Tier 1 - Preferred Generic None
Erickson Advantage Liberty (HMO-POS) Tier 1 - Preferred Generic None
UHC Complete Care NC-25 (HMO-POS C-SNP) Tier 1 - Preferred Generic None
UHC Complete Care NC-27 (HMO-POS C-SNP) Tier 1 - Preferred Generic None
UHC Complete Care NC-28 (HMO-POS C-SNP) Tier 1 - Preferred Generic None
Erickson Advantage Champion (HMO-POS C-SNP) Tier 1 - Preferred Generic None
Aetna Medicare Chronic Care (HMO C-SNP) Tier 1 - Preferred Generic None
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 1 - Preferred Generic None
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic None
HealthSpring True Choice (PPO) Tier 1 - Preferred Generic None
HealthSpring Preferred (HMO) Tier 1 - Preferred Generic None
HealthSpring Preferred Select (HMO) Tier 1 - Preferred Generic None
HealthSpring Preferred Savings (HMO) Tier 1 - Preferred Generic None
HealthSpring Preferred Plus (HMO) Tier 1 - Preferred Generic None
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 1 - Preferred Generic None
UHC Dual Complete NC-S001 (PPO D-SNP) Tier 1 - Preferred Generic None
UHC Dual Complete NC-S2 (PPO D-SNP) Tier 1 - Preferred Generic None
AARP Medicare Advantage Access from UHC NC-23 (PPO) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0001 (PPO) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0004 (PPO) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0016 (PPO) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0017 (PPO) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0019 (PPO) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0022 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0007 (HMO-POS) Tier 1 - Preferred Generic None
UHC Dual Complete NC-D001 (HMO-POS D-SNP) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0008 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0009 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0011 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0012 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) Tier 1 - Preferred Generic None
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) Tier 1 - Preferred Generic None
UHC Dual Complete NC-V001 (HMO-POS D-SNP) Tier 1 - Preferred Generic None
NHC Advantage (HMO I-SNP) Tier 1 - Preferred Generic None
PruittHealth Premier (HMO I-SNP) Tier 1 - Preferred Generic None
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) Tier 1 - Preferred Generic None
Liberty Medicare Dual Plan (HMO D-SNP) Tier 1 - Preferred Generic None
Liberty Medicare Advantage (HMO C-SNP) Tier 1 - Preferred Generic None
Troy Medicare (HMO) Tier 1 - Preferred Generic None
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 1 - Preferred Generic None
UHC Nursing Home Plan NC-F001 (PPO I-SNP) Tier 1 - Preferred Generic None
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Tier 1 - Preferred Generic None
Provider Partners North Carolina Community Plan (HMO I-SNP) Tier 1 - Preferred Generic None
Provider Partners North Carolina Essential Plan (HMO I-SNP) Tier 1 - Preferred Generic None
Senior Care (HMO I-SNP) Tier 1 - Preferred Generic None
DEVOTED CHOICE 003 NC (PPO) Tier 2 - Generic None
DEVOTED CHOICE 005 NC (PPO) Tier 2 - Generic None
DEVOTED CHOICE GIVEBACK 006 NC (PPO) Tier 2 - Generic None
DEVOTED CHOICE 008 NC (PPO) Tier 2 - Generic None
DEVOTED CHOICE GIVEBACK 009 NC (PPO) Tier 2 - Generic None
Humana Gold Plus H6622-057 (HMO-POS) Tier 2 - Generic None
Humana Gold Plus H6622-060 (HMO-POS) Tier 2 - Generic None
Humana Gold Plus H6622-061 (HMO-POS) Tier 2 - Generic None
Humana Gold Choice H8145-004 (PFFS) Tier 2 - Generic None
Aetna Medicare Signature Care (HMO) Tier 2 - Generic None
Wellcare Simple Open (PPO) Tier 2 - Generic None
Wellcare Simple (HMO-POS) Tier 2 - Generic None
Wellcare Giveback Open (PPO) Tier 2 - Generic None
Blue Medicare PPO Enhanced (PPO) Tier 2 - Generic None
Blue Medicare Essential Plus (HMO-POS) Tier 2 - Generic None
Blue Medicare Enhanced (HMO-POS) Tier 2 - Generic None
Blue Medicare Choice (HMO) Tier 2 - Generic None
Blue Medicare Essential (HMO) Tier 2 - Generic None
Experience Health Medicare Advantage (HMO) Tier 2 - Generic None
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 2 - Generic None
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) Tier 2 - Generic None
DEVOTED DUAL FULL 013 NC (HMO D-SNP) Tier 2 - Generic None
DEVOTED CHOICE 001 NC (PPO) Tier 2 - Generic None
DEVOTED CHOICE GIVEBACK 002 NC (PPO) Tier 2 - Generic None
DEVOTED CHOICE GIVEBACK 004 NC (PPO) Tier 2 - Generic None
Aetna Medicare Signature (PPO) Tier 2 - Generic None
Aetna Medicare Signature Giveback (PPO) Tier 2 - Generic None
Aetna Medicare Signature (PPO) Tier 2 - Generic None
Aetna Medicare Signature (PPO) Tier 2 - Generic None
Aetna Medicare Signature Extra (PPO) Tier 2 - Generic None
Aetna Medicare Enhanced (PPO) Tier 2 - Generic None
Aetna Medicare Enhanced (PPO) Tier 2 - Generic None
Aetna Medicare Signature (PPO) Tier 2 - Generic None
Aetna Medicare Enhanced (HMO) Tier 2 - Generic None
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 2 - Generic None
Alignment Health Platinum (HMO) Tier 2 - Generic None
Alignment Health NC Duals (HMO-POS D-SNP) Tier 2 - Generic None
Alignment Health smartHMO (HMO) Tier 2 - Generic None
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 2 - Generic None
Alignment Health Platinum Select (HMO) Tier 2 - Generic None
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 2 - Generic None
Alignment Health AVA (PPO) Tier 2 - Generic None
HealthTeam Advantage Plan I (PPO) Tier 2 - Generic None
HealthTeam Advantage Plan II (PPO) Tier 2 - Generic None
HealthTeam Advantage Vitality Plan (PPO) Tier 2 - Generic None
Aetna Medicare Prime (HMO) Tier 2 - Generic None
Aetna Medicare Value Plus (HMO) Tier 2 - Generic None
Aetna Medicare Signature (HMO) Tier 2 - Generic None
Wellcare Dual Liberty Open (PPO D-SNP) Tier 2 - Generic None
Wellcare Assist Open (PPO) Tier 2 - Generic None
Wellcare Dual Access (HMO-POS D-SNP) Tier 2 - Generic None
Wellcare Dual Liberty (HMO-POS D-SNP) Tier 2 - Generic None
Wellcare Dual Reserve (HMO-POS D-SNP) Tier 2 - Generic None
Aetna Medicare Dual (HMO D-SNP) Tier 2 - Generic None
Aetna Medicare Signature (HMO) Tier 2 - Generic None
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Tier 2 - Generic None
Humana Gold Plus H1036-137 (HMO-POS) Tier 2 - Generic None
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) Tier 2 - Generic None
Humana Gold Plus H1036-233 (HMO-POS) Tier 2 - Generic None
Humana Dual Select H1036-307 (HMO D-SNP) Tier 2 - Generic None
Humana Gold Plus Giveback H1036-318 (HMO-POS) Tier 2 - Generic None
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) Tier 2 - Generic None
Humana Gold Plus H1036-335 (HMO-POS) Tier 2 - Generic None
HumanaChoice Giveback H5216-017 (PPO) Tier 2 - Generic None
HumanaChoice H5216-211 (PPO) Tier 2 - Generic None
Humana Full Access H5525-034 (PPO) Tier 2 - Generic None
HumanaChoice Giveback H5525-035 (PPO) Tier 2 - Generic None
HumanaChoice SNP-DE H5525-036 (PPO D-SNP) Tier 2 - Generic None
HumanaChoice H5525-049 (PPO) Tier 2 - Generic None
HumanaChoice H5525-050 (PPO) Tier 2 - Generic None
HumanaChoice H5525-070 (PPO) Tier 2 - Generic None
Humana Dual Select H5525-072 (PPO D-SNP) Tier 2 - Generic None
HumanaChoice H5525-083 (PPO) Tier 2 - Generic None
Humana Gold Plus H6622-025 (HMO-POS) Tier 2 - Generic None
Humana Gold Plus H6622-026 (HMO-POS) Tier 2 - Generic None
Humana Dual Select H6622-027 (HMO-POS D-SNP) Tier 2 - Generic None
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) Tier 2 - Generic None
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) Tier 2 - Generic None
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) Tier 2 - Generic None
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) Tier 2 - Generic None
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) Tier 2 - Generic None
DEVOTED DUAL 009 NC (HMO D-SNP) Tier 2 - Generic None
DEVOTED CORE 001 NC (HMO) Tier 2 - Generic None
DEVOTED GIVEBACK 002 NC (HMO) Tier 2 - Generic None
DEVOTED GIVEBACK 012 NC (HMO) Tier 2 - Generic None
HealthSpring TotalCare Plus (HMO D-SNP) Tier 3 - Preferred Brand None
HealthSpring TotalCare (HMO D-SNP) Tier 3 - Preferred Brand None
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) Tier 6 - Specialty Plus None
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