Seroquel Tablet / XR Tablet / XR Sample

25MG, 50MG, 100MG, 200MG, 300MG, 400MG — Kit

Also known as: SEROQUEL TABS 25MG, 50MG, 100MG, 200MG, 300MG, 400MG

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

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	✓	—	ST