Soma
Generic: carisoprodol
250MG, 350MG — Tablet
Also known as:
SOMA TABS 250MG, 350MG
SOMA TABS 350MG
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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)
29 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Standard Expanded Bronze with Atrium Health
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
Blue Cross Blue Shield Federal
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Basic Option 2026
via carisoprodol |
Tier 1 - Generic | — | — | ✓ | QL |
|
BCBS Federal Focus 2026
via carisoprodol |
Tier 1 - Generic | — | — | ✓ | QL |
|
BCBS Federal Standard Option 2026
via carisoprodol |
Tier 1 - Generic | — | — | ✓ | QL |
| BCBS Federal Basic Option 2026 | Tier 3 - Non-Preferred Brand | — | — | ✓ | QL |
| BCBS Federal Standard Option 2026 | Tier 3 - Non-Preferred Brand | — | — | ✓ | QL |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Care 2026 | Tier 1 - Lowest Cost Generic | ✓ | — | — | PA |
| BCBSNC Blue Value 2026 | Tier 1 - Lowest Cost Generic | ✓ | — | — | PA |
| BCBSNC Blue Advantage 2026 | Tier 1 - Lowest Cost Generic | ✓ | — | — | PA |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 1 - Lowest Cost Generic | ✓ | — | — | PA |
| BCBSNC Blue Local 2026 | Tier 1 - Lowest Cost Generic | ✓ | — | — | PA |
Cigna
1 planMedicare Part D
16 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Liberty Medicare Dual Plan (HMO D-SNP)
via carisoprodol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Liberty Medicare Advantage (HMO C-SNP)
via carisoprodol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via carisoprodol |
Tier 1 - Preferred Generic | — | — | — | None |
|
Senior Care (HMO I-SNP)
via carisoprodol |
Tier 1 - Preferred Generic | ✓ | — | — | PA |
|
NHC Advantage (HMO I-SNP)
via carisoprodol |
Tier 1 - Preferred Generic | ✓ | — | — | PA |
|
PruittHealth Premier (HMO I-SNP)
via carisoprodol |
Tier 1 - Preferred Generic | ✓ | — | — | PA |
|
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via carisoprodol |
Tier 2 - Generic | ✓ | — | ✓ 90 per 30 days | PA | QL |
|
Alignment Health Platinum (HMO)
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health NC Duals (HMO-POS D-SNP)
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health smartHMO (HMO)
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health Platinum Select (HMO)
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Alignment Health AVA (PPO)
via carisoprodol |
Tier 2 - Generic | — | — | — | None |
|
Troy Medicare (HMO)
via carisoprodol |
Tier 2 - Generic | ✓ | — | ✓ 90 per 30 days | PA | QL |
|
AmeriHealth Caritas VIP Care (HMO D-SNP)
via carisoprodol |
Tier 2 - Generic | ✓ | — | ✓ 90 per 30 days | PA | QL |
NC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via carisoprodol |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via carisoprodol |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via carisoprodol |
Tier 1 - Preferred Generic | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 3 - Non-Preferred Brand | — | — | — | None |