Risperdal

Generic: risperidone

37.5 MG — Solution

Also known as: risperidone RISPERDAL SOLN 1MG/ML; TABS .5MG, 1MG, 2MG, 3MG, 4MG RISPERDAL SOLN 1MG/ML; TABS .5MG, 1MG,

Coverage by Insurer

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

Ambetter (Centene)

58 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Standard Expanded Bronze with Atrium Health via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Gold with Atrium Health + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Silver with Atrium Health + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Gold + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Silver + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Expanded Bronze + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Complete Gold with Atrium Health + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Focused Silver with Atrium Health + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Elite Bronze + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Everyday Bronze + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Complete Gold + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Gold with Atrium Health via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Silver with Atrium Health via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Complete Gold with Atrium Health via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Focused Silver with Atrium Health via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Gold via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Silver via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Expanded Bronze via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Clear Silver with $0 Insulin Options via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Elite Bronze via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Everyday Bronze via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Complete Gold via risperidone	Tier 2 - Generic	✓	—	✓	PA \| QL
Standard Expanded Bronze + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Silver with Atrium Health via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Gold with Atrium Health via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Complete Gold + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Everyday Bronze + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Elite Bronze + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Silver + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Gold + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Silver with Atrium Health + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Gold with Atrium Health + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Complete Gold via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Everyday Bronze via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Elite Bronze via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Clear Silver with $0 Insulin Options via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Expanded Bronze via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Silver via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Gold via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Everyday Bronze with Atrium Health via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Elite Bronze with Atrium Health via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Focused Silver with Atrium Health via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Complete Gold with Atrium Health via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Standard Expanded Bronze with Atrium Health via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Focused Silver with Atrium Health + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL
Complete Gold with Atrium Health + Vision + Adult Dental via Perseris	Tier 3 - Preferred Brand	✓	—	✓	PA \| QL

Blue Cross Blue Shield Federal

7 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026 via risperidone	Tier 1 - Generic	—	—	—	None
BCBS Federal Standard Option 2026 via risperidone	Tier 1 - Generic	—	—	—	None
BCBS Federal Basic Option 2026 via risperidone	Tier 1 - Generic	—	—	—	None
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026 via Perseris	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026 via Perseris	Tier 3 - Non-Preferred Brand	—	—	—	None

Blue Cross Blue Shield of NC

20 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Care 2026 via risperidone	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Value 2026	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Care 2026	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Local 2026	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Advantage 2026	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Value 2026 via risperidone	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Local 2026 via risperidone	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Home with UNC Health Alliance 2026 via risperidone	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Advantage 2026 via risperidone	Tier 1 - Lowest Cost Generic	—	—	✓	QL
BCBSNC Blue Home with UNC Health Alliance 2026 via Uzedy	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Uzedy	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Uzedy	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Uzedy	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Uzedy	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Perseris	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Perseris	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Perseris	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Perseris	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Perseris	Tier 4 - Higher Cost Brand	—	—	—	None

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via risperidone	Tier 1 - Generic	—	—	—	None

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Perseris	Preferred	—	—	—	None

NC State Health Plan

6 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via risperidone	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via risperidone	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026 via risperidone	Tier 1 - Preferred Generic	—	—	—	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
NC State Health Plan - HDHP 2026	Tier 3 - Non-Preferred Brand	—	—	—	None

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via risperidone	Tier 1 - Basic Core Formulary	—	—	—	None

UnitedHealthcare

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 7 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026 via risperidone	Tier 3 - Mid-Range Cost	—	—	—	None