SARS-CoV-2 (COVID-19) vaccine, mRNA-BNT162b2 OMICRON (KP.2)
0.00999 MG
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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)
58 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Standard Expanded Bronze | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Elite Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Focused Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Expanded Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Elite Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
| Complete Gold | Tier 0 - $0 Preventive | — | — | — | None |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 0 - $0 Preventive | — | — | — | None |
| Everyday Bronze | Tier 0 - $0 Preventive | — | — | — | None |
| Elite Bronze | Tier 0 - $0 Preventive | — | — | — | None |
| Clear Silver with $0 Insulin Options | Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze with Atrium Health
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze with Atrium Health
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Focused Silver with Atrium Health
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold with Atrium Health
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Silver with Atrium Health
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Standard Gold with Atrium Health
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Comirnaty 2024-2025 |
Tier 0 - $0 Preventive | — | — | — | None |