sertraline hcl

100 mg, 150 mg, 20 mg/mL, 200 mg, 25 mg, 50 mg — Tablet

ANTIPSYCHOTICS

Also known as: sertraline hcl oral concentrate sertraline hcl oral tablet sertraline hcl caps 150mg, 200mg; conc 20mg/ml; tabs 25mg, 50mg, 100mg sertraline hcl tab 25 mg, 50 mg, 100 mg ZOLOFT sertraline hcl caps 150mg, 200mg; conc

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: 3 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026 Tier 1 - Generic None
BCBS Federal Focus 2026 Tier 1 - Generic None
BCBS Federal Standard Option 2026 Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 3 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026
via Zoloft
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Care 2026
via Zoloft
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Value 2026
via Zoloft
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Advantage 2026
via Zoloft
Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Zoloft
Tier 1 - Lowest Cost Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 3 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 3 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 3 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 1 - $0 Copay Preventive None
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