propranolol hcl
10 mg, 20 mg, 40 mg, 60 mg, 80 mg — Capsule
Also known as:
propranolol hcl oral
propranolol hcl soln 1mg/ml
propranolol hcl cap er 24hr 60 mg, 80 mg, 120 mg, 160 mg
propranolol hcl tab 10 mg, 20 mg, 40 mg, 60 mg, 80 mg
Propranolol HCl Oral Tablet
Propranolol HCl ER Oral Capsule Extended Release
Propranolol HCl Oral Solution
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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.
Ambetter (Centene)
29 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
AmeriHealth Caritas NC
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Gold Premier + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Silver Essential + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Premier + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Essential + No Referrals
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Gold Premier + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Essential + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Tier 2 - Generic | — | — | — | None |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Tier 2 - Generic | — | — | — | None |
Blue Cross Blue Shield of NC
15 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Advantage 2026
via Inderal La |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Inderal La |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Local 2026
via Inderal La |
Tier 1 - Lowest Cost Generic | — | — | — | None |
| BCBSNC Blue Advantage 2026 | Tier 1 - Lowest Cost Generic | — | — | — | None |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 1 - Lowest Cost Generic | — | — | — | None |
| BCBSNC Blue Local 2026 | Tier 1 - Lowest Cost Generic | — | — | — | None |
| BCBSNC Blue Care 2026 | Tier 1 - Lowest Cost Generic | — | — | — | None |
| BCBSNC Blue Value 2026 | Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Care 2026
via Inderal La |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Value 2026
via Inderal La |
Tier 1 - Lowest Cost Generic | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via propranolol hydrochloride |
Tier 4 - Higher Cost Brand | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via propranolol hydrochloride |
Tier 4 - Higher Cost Brand | — | — | — | None |
|
BCBSNC Blue Local 2026
via propranolol hydrochloride |
Tier 4 - Higher Cost Brand | — | — | — | None |
|
BCBSNC Blue Value 2026
via propranolol hydrochloride |
Tier 4 - Higher Cost Brand | — | — | — | None |
|
BCBSNC Blue Care 2026
via propranolol hydrochloride |
Tier 4 - Higher Cost Brand | — | — | — | None |
Medicare Part D
280 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Aetna Medicare Chronic Care (HMO C-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
| UHC Dual Complete NC-S2 (PPO D-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| PruittHealth Premier (HMO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Erickson Advantage Liberty (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
| Erickson Advantage Freedom (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
| Erickson Advantage Champion (HMO-POS C-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Erickson Advantage Guardian (HMO-POS I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Erickson Advantage Signature (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
|
Aetna Medicare Chronic Care Value (HMO C-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
PruittHealth Premier (HMO I-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
Liberty Medicare Dual Plan (HMO D-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
| Longevity Health Plan (HMO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| UHC Complete Care NC-28 (HMO-POS C-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| UHC Complete Care NC-27 (HMO-POS C-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| AARP Medicare Advantage from UHC NC-26 (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
| UHC Complete Care NC-25 (HMO-POS C-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| AARP Medicare Advantage from UHC NC-24 (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
| UHC Dual Complete NC-S3 (HMO-POS D-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
|
AmeriHealth Caritas VIP Care (HMO D-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
| AARP Medicare Advantage from UHC NC-0015 (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
| UHC Dual Complete NC-V001 (HMO-POS D-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| AARP Medicare Advantage Giveback from UHC NC-14 (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 from UHC NC-0012 (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-0009 (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
| AARP Medicare Advantage from UHC NC-0008 (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
|
NHC Advantage (HMO I-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
Provider Partners North Carolina Community Plan (HMO I-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
Troy Medicare (HMO)
via propranolol hydrochloride |
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-0007 (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-0021 (HMO-POS) | Tier 1 - Preferred Generic | — | — | — | None |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Troy Medicare (HMO) | Tier 1 - Preferred Generic | — | — | — | None |
| Provider Partners North Carolina Essential 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 Advantage Plan (HMO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Senior Care (HMO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| NHC Advantage (HMO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| AARP Medicare Advantage from UHC NC-0019 (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-0016 (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-0001 (PPO) | Tier 1 - Preferred Generic | — | — | — | None |
| AARP Medicare Advantage Access from UHC NC-23 (PPO) | Tier 1 - Preferred Generic | — | — | — | None |
| Liberty Medicare Advantage (HMO C-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| UHC Dual Complete NC-S001 (PPO D-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| UHC Nursing Home Plan NC-F001 (PPO I-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
|
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
| HealthSpring Preferred Plus (HMO) | Tier 1 - Preferred Generic | — | — | — | None |
| HealthSpring Preferred Savings (HMO) | Tier 1 - Preferred Generic | — | — | — | None |
| HealthSpring Preferred Select (HMO) | Tier 1 - Preferred Generic | — | — | — | None |
| HealthSpring Preferred (HMO) | Tier 1 - Preferred Generic | — | — | — | None |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
| HealthSpring True Choice (PPO) | Tier 1 - Preferred Generic | — | — | — | None |
| Liberty Medicare Dual Plan (HMO D-SNP) | Tier 1 - Preferred Generic | — | — | — | None |
|
Longevity Health Plan (HMO I-SNP)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Dual Complete NC-S001 (PPO D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Dual Complete NC-S2 (PPO D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Simple Open (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Dual Liberty Open (PPO D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Assist Open (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Giveback Open (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0001 (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0004 (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0016 (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0017 (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0019 (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Dual (HMO D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Value Plus (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Prime (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature Care (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Full Dual Care (HMO D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Enhanced (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Blue Medicare PPO Enhanced (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Blue Medicare Essential Plus (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Blue Medicare Enhanced (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Blue Medicare Choice (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Blue Medicare Essential (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Experience Health Medicare Advantage (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Simple (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Dual Access (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Dual Reserve (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Wellcare Dual Liberty (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Senior Care (HMO I-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Complete Care NC-25 (HMO-POS C-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Complete Care NC-27 (HMO-POS C-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
UHC Complete Care NC-28 (HMO-POS C-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health Platinum (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health NC Duals (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health smartHMO (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health Platinum Select (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Enhanced (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Enhanced (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature Extra (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature Giveback (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Aetna Medicare Signature (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Erickson Advantage Signature (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Erickson Advantage Guardian (HMO-POS I-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Erickson Advantage Champion (HMO-POS C-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Erickson Advantage Freedom (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Erickson Advantage Liberty (HMO-POS)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Liberty Medicare Advantage (HMO C-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health AVA (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthSpring True Choice (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Healthy Blue + Medicare (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthSpring TotalCare (HMO D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthSpring Preferred (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthSpring TotalCare Plus (HMO D-SNP)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthSpring Preferred Select (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthSpring Preferred Savings (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthSpring Preferred Plus (HMO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthTeam Advantage Plan I (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthTeam Advantage Plan II (PPO)
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
HealthTeam Advantage Vitality Plan (PPO)
via propranolol hydrochloride |
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 - Diabetes and Heart (HMO C-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 |
| Wellcare Simple Open (PPO) | Tier 2 - Generic | — | — | — | None |
| Wellcare Dual Liberty Open (PPO D-SNP) | Tier 2 - Generic | — | — | — | None |
| Wellcare Assist Open (PPO) | Tier 2 - Generic | — | — | — | None |
| Wellcare Giveback Open (PPO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Dual (HMO D-SNP) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Value Plus (HMO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Prime (HMO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Signature Care (HMO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Enhanced (HMO) | 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 |
| Wellcare Simple (HMO-POS) | Tier 2 - Generic | — | — | — | None |
| Wellcare Dual Access (HMO-POS D-SNP) | Tier 2 - Generic | — | — | — | None |
| Wellcare Dual Reserve (HMO-POS D-SNP) | Tier 2 - Generic | — | — | — | None |
| Wellcare Dual Liberty (HMO-POS D-SNP) | Tier 2 - Generic | — | — | — | None |
| HumanaChoice Giveback H5216-017 (PPO) | Tier 2 - Generic | — | — | — | None |
| HumanaChoice H5216-211 (PPO) | 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 |
| DEVOTED CORE 001 NC (HMO) | Tier 2 - Generic | — | — | — | None |
| DEVOTED GIVEBACK 002 NC (HMO) | 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 GIVEBACK 012 NC (HMO) | Tier 2 - Generic | — | — | — | None |
| DEVOTED DUAL FULL 013 NC (HMO D-SNP) | Tier 2 - Generic | — | — | — | None |
| DEVOTED C-SNP PREMIUM 014 NC (HMO C-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 |
| Aetna Medicare Signature (PPO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Signature Extra (PPO) | Tier 2 - Generic | — | — | — | None |
| Aetna Medicare Signature (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 |
| 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 |
| 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 |
| Alignment Health AVA (PPO) | Tier 2 - Generic | — | — | — | None |
| Humana Gold Choice H8145-004 (PFFS) | Tier 2 - Generic | — | — | — | None |
| Healthy Blue + Medicare (HMO-POS 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 003 NC (PPO) | Tier 2 - Generic | — | — | — | None |
| DEVOTED CHOICE GIVEBACK 004 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 |
| 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 |
|
DEVOTED CHOICE GIVEBACK 002 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Choice H8145-004 (PFFS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H6622-061 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H6622-060 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H6622-057 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Dual Select H6622-027 (HMO-POS D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H6622-026 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice H5525-070 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice H5525-050 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice H5525-049 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice Giveback H5525-035 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Full Access H5525-034 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H1036-137 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED DUAL 009 NC (HMO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED GIVEBACK 002 NC (HMO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H6622-025 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CORE 001 NC (HMO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice H5216-211 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice Giveback H5216-017 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H1036-335 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus Giveback H1036-318 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Dual Select H1036-307 (HMO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
| HealthSpring TotalCare (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
| HealthSpring TotalCare Plus (HMO D-SNP) | Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED DUAL FULL 013 NC (HMO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED GIVEBACK 012 NC (HMO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Gold Plus H1036-233 (HMO-POS)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
HumanaChoice H5525-083 (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
Humana Dual Select H5525-072 (PPO D-SNP)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CHOICE GIVEBACK 009 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CHOICE 008 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CHOICE GIVEBACK 006 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CHOICE 005 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CHOICE GIVEBACK 004 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CHOICE 003 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
|
DEVOTED CHOICE 001 NC (PPO)
via propranolol hydrochloride |
Tier 3 - Preferred Brand | — | — | — | None |
| HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) | Tier 6 - Specialty Plus | — | — | — | None |
|
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via propranolol hydrochloride |
Tier 6 - Specialty Plus | — | — | — | None |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 1 - Preferred Generic | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Tier 1 - Preferred Generic | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 1 - Preferred Generic | — | — | — | None |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Silver Classic Standard
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic 4700
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Secure
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Chronic Care CKM | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic Standard
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Diabetes
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AIAN Cost Share
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
AIAN Cost Share | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Diabetes | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Gold Elite Saver Plus | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple PCP Saver | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple Diabetes | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Elite + PCP Saver Plus | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic 4700 | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Secure | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Chronic Care CKM | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Elite + PCP Saver Plus
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Gold Elite Saver Plus
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Simple PCP Saver
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Gold Classic Standard | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Silver Classic Standard | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Bronze Classic Standard | with Atrium Health
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
|
Gold Classic Standard
via propranolol hydrochloride |
Tier 2 - Generic | — | — | — | None |
UnitedHealthcare
17 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Bronze Standard (No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Gold Standard (No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Silver Standard (No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
54332NC0030042
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
54332NC0060008
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
54332NC0060009
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
54332NC0060010
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Bronze Standard+ Dental + Vision (No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via propranolol hydrochloride |
Tier 1 - Preferred Generic | — | — | — | None |