Prozac

Generic: fluoxetine hcl

10MG, 20MG, 40MG — Capsule

ANTIDEPRESSANTS

Also known as: PROZAC CAPS 10MG, 20MG, 40MG

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: Apr 1, 2026  ·  Checked: 20 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via fluoxetine hcl
Tier 1 - Generic None
BCBS Federal Focus 2026
via fluoxetine hcl
Tier 1 - Generic None
BCBS Federal Standard Option 2026
via fluoxetine hcl
Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026
via fluoxetine hcl
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Care 2026
via fluoxetine hcl
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Value 2026
via fluoxetine hcl
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Advantage 2026 Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Local 2026 Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Care 2026 Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Value 2026 Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Advantage 2026
via fluoxetine hcl
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Home with UNC Health Alliance 2026
via fluoxetine hcl
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Fluoxetine Dr
Tier 4 - Higher Cost Brand Restricted Access QL
BCBSNC Blue Care 2026
via Fluoxetine Dr
Tier 4 - Higher Cost Brand Restricted Access QL
BCBSNC Blue Value 2026
via Fluoxetine Dr
Tier 4 - Higher Cost Brand Restricted Access QL
BCBSNC Blue Advantage 2026
via Fluoxetine Dr
Tier 4 - Higher Cost Brand Restricted Access QL
BCBSNC Blue Local 2026
via Fluoxetine Dr
Tier 4 - Higher Cost Brand Restricted Access QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026
via fluoxetine hcl
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via fluoxetine hcl
Not Covered None
NC State Health Plan - HDHP 2026
via fluoxetine hcl
Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 20 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via fluoxetine hcl
Tier 1 - Basic Core Formulary PA | QL
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 20 hours, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via fluoxetine hcl
Unknown QL
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