Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 4 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Expanded Bronze + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Everyday Bronze + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Elite Bronze + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Focused Silver with Atrium Health + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Elite Bronze with Atrium Health + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Complete Gold + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Standard Gold with Atrium Health + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Standard Silver with Atrium Health + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Standard Gold + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Standard Silver + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Complete Gold
via nisoldipine
Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via nisoldipine
Tier 2 - Generic None
Everyday Bronze
via nisoldipine
Tier 2 - Generic None
Elite Bronze
via nisoldipine
Tier 2 - Generic None
Clear Silver with $0 Insulin Options
via nisoldipine
Tier 2 - Generic None
Standard Expanded Bronze
via nisoldipine
Tier 2 - Generic None
Standard Silver
via nisoldipine
Tier 2 - Generic None
Standard Gold
via nisoldipine
Tier 2 - Generic None
Everyday Bronze with Atrium Health
via nisoldipine
Tier 2 - Generic None
Elite Bronze with Atrium Health
via nisoldipine
Tier 2 - Generic None
Focused Silver with Atrium Health
via nisoldipine
Tier 2 - Generic None
Complete Gold with Atrium Health
via nisoldipine
Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health
via nisoldipine
Tier 2 - Generic None
Standard Silver with Atrium Health
via nisoldipine
Tier 2 - Generic None
Standard Gold with Atrium Health
via nisoldipine
Tier 2 - Generic None
Complete Gold with Atrium Health + Vision + Adult Dental
via nisoldipine
Tier 2 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via nisoldipine
Tier 1 - Generic None
BCBS Federal Standard Option 2026
via nisoldipine
Tier 1 - Generic None
BCBS Federal Focus 2026
via nisoldipine
Tier 1 - Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 4 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026
via nisoldipine
Tier 1 - Generic QL
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 4 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via nisoldipine
Tier 3 - Preferred Brand None
Alignment Health smartHMO (HMO)
via nisoldipine
Tier 3 - Preferred Brand None
Alignment Health NC Duals (HMO-POS D-SNP)
via nisoldipine
Tier 3 - Preferred Brand None
Alignment Health Platinum (HMO)
via nisoldipine
Tier 3 - Preferred Brand None
Alignment Health AVA (PPO)
via nisoldipine
Tier 3 - Preferred Brand None
Alignment Health Platinum Select (HMO)
via nisoldipine
Tier 3 - Preferred Brand None
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via nisoldipine
Tier 3 - Preferred Brand None
Blue Medicare Enhanced (HMO-POS)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Dual (HMO D-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Value Plus (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Prime (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature Care (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Full Dual Care (HMO D-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Enhanced (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Enhanced (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Enhanced (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature Extra (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature Giveback (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Signature (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Chronic Care (HMO C-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
Aetna Medicare Chronic Care Value (HMO C-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
HealthSpring True Choice (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
HealthSpring TotalCare (HMO D-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
HealthSpring TotalCare Plus (HMO D-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
HealthSpring Preferred (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
HealthSpring Preferred Select (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
HealthSpring Preferred Savings (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
HealthSpring Preferred Plus (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
DEVOTED DUAL 009 NC (HMO D-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
DEVOTED CORE 001 NC (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
DEVOTED GIVEBACK 002 NC (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
DEVOTED GIVEBACK 012 NC (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Blue Medicare PPO Enhanced (PPO)
via nisoldipine
Tier 4 - Non-Preferred None
Blue Medicare Essential Plus (HMO-POS)
via nisoldipine
Tier 4 - Non-Preferred None
Blue Medicare Choice (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Blue Medicare Essential (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Experience Health Medicare Advantage (HMO)
via nisoldipine
Tier 4 - Non-Preferred None
Healthy Blue + Medicare (HMO-POS D-SNP)
via nisoldipine
Tier 4 - Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via nisoldipine
Non-Preferred None
NC Medicaid Preferred Drug List 2026 Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via nisoldipine tb24
Tier 2 - Non-Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026
via nisoldipine tb24
Tier 2 - Non-Preferred Generic None
NC State Health Plan - 80/20 Plus PPO 2026
via nisoldipine tb24
Tier 2 - Non-Preferred Generic None
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