Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
AmeriHealth Caritas NC
11 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
|
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Solosec |
Tier 4 - Non-Preferred | — | ✓ | — | ST |
TRICARE
1 planUnitedHealthcare
17 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |
|
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Solosec |
Tier 4 - Non-Preferred | — | — | ✓ | QL |