Synarel
Generic: nafarelin
0.2 MG — Nasal Spray
Also known as:
SYNAREL SOLN 2MG/ML
nafarelin
Synarel 2 Mg/Ml Nasal Spray
Synarel Nasal Solution
Nafarelin
Compare Prices
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 |
|---|---|---|---|---|---|
| Focused Silver with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 5 - Specialty | ✓ | — | — | PA |
| Everyday Bronze | Tier 5 - Specialty | ✓ | — | — | PA |
| Elite Bronze | Tier 5 - Specialty | ✓ | — | — | PA |
| Clear Silver with $0 Insulin Options | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Expanded Bronze | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Silver | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Gold | Tier 5 - Specialty | ✓ | — | — | PA |
| Everyday Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Elite Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Complete Gold + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Everyday Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Elite Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Silver + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Gold + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | — | PA |
| Complete Gold | Tier 5 - Specialty | ✓ | — | — | PA |
| Complete Gold with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Expanded Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Silver with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Standard Gold with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Gold Premier + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Silver Essential + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Tier 5 - Specialty | ✓ | — | — | PA |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Value 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Care 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Local 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
| BCBSNC Blue Advantage 2026 | Tier 4 - Higher Cost Brand | — | — | — | None |
Cigna
20 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Connect Bronze CMS Standard | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect myDiabetesCare Silver | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver RD 2200 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Gold 1500 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect myDiabetesCare Bronze | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Bronze 5500 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Bronze RD 6000 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver 3500 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Bronze RD 5000 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver RD 3500 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Bronze 7000 HSA Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver 4400 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver RD 5000 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver 3000 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Bronze 6500 Indiv Med Deductible | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver CMS Standard | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Silver RD CMS Standard | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Gold CMS Standard | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Bronze RD CMS Standard | Tier 5 - Specialty | ✓ | — | — | PA |
| Connect Gold RD CMS Standard | Tier 5 - Specialty | ✓ | — | — | PA |
Medicare Part D
61 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| HealthSpring True Choice (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature Giveback (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Dual (HMO D-SNP) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Enhanced (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature Care (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Prime (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Value Plus (HMO) | Tier 5 - Specialty | — | — | — | None |
| HealthSpring TotalCare (HMO D-SNP) | Tier 5 - Specialty | — | — | — | None |
| HealthSpring TotalCare Plus (HMO D-SNP) | Tier 5 - Specialty | — | — | — | None |
| HealthSpring Preferred (HMO) | Tier 5 - Specialty | — | — | — | None |
| HealthSpring Preferred Select (HMO) | Tier 5 - Specialty | — | — | — | None |
| HealthSpring Preferred Savings (HMO) | Tier 5 - Specialty | — | — | — | None |
| HealthSpring Preferred Plus (HMO) | Tier 5 - Specialty | — | — | — | None |
| DEVOTED DUAL FULL 013 NC (HMO D-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature Extra (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 5 - Specialty | — | — | — | None |
| DEVOTED DUAL PLUS 006 NC (HMO D-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED DUAL 009 NC (HMO D-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CORE 001 NC (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED GIVEBACK 002 NC (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED GIVEBACK 012 NC (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE 001 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE GIVEBACK 002 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE 003 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE GIVEBACK 004 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE 005 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE GIVEBACK 006 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE 008 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| DEVOTED CHOICE GIVEBACK 009 NC (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Blue Medicare PPO Enhanced (PPO) | Tier 5 - Specialty | — | — | — | None |
| Blue Medicare Essential Plus (HMO-POS) | Tier 5 - Specialty | — | — | — | None |
| Blue Medicare Enhanced (HMO-POS) | Tier 5 - Specialty | — | — | — | None |
| Blue Medicare Choice (HMO) | Tier 5 - Specialty | — | — | — | None |
| Blue Medicare Essential (HMO) | Tier 5 - Specialty | — | — | — | None |
| Experience Health Medicare Advantage (HMO) | Tier 5 - Specialty | — | — | — | None |
| Healthy Blue + Medicare (HMO-POS D-SNP) | Tier 5 - Specialty | — | — | — | None |
| Alignment Health Platinum (HMO) | Tier 5 - Specialty | — | — | — | None |
| Alignment Health NC Duals (HMO-POS D-SNP) | Tier 5 - Specialty | — | — | — | None |
| Alignment Health smartHMO (HMO) | Tier 5 - Specialty | — | — | — | None |
| Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) | Tier 5 - Specialty | — | — | — | None |
| Alignment Health Platinum Select (HMO) | Tier 5 - Specialty | — | — | — | None |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Tier 5 - Specialty | — | — | — | None |
| Alignment Health AVA (PPO) | Tier 5 - Specialty | — | — | — | None |
| Troy Medicare (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
| NC State Health Plan - HDHP 2026 | Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
Oscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Secure | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Elite + PCP Saver Plus | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Classic | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Simple Diabetes | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Simple PCP Saver | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Gold Elite Saver Plus | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Simple Chronic Care CKM | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Simple Diabetes | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Simple Chronic Care CKM | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Simple Women's Health with Menopause Benefits | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| AIAN Cost Share | Tier 5 - Specialty | ✓ | — | — | PA |
| AIAN Cost Share | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Classic Standard | Tier 5 - Specialty | ✓ | — | — | PA |
| Gold Classic Standard | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Classic Standard | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Classic Standard | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Gold Classic Standard | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Elite + PCP Saver Plus | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Classic | Tier 5 - Specialty | ✓ | — | — | PA |
| Secure | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Classic 4700 | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Simple PCP Saver | Tier 5 - Specialty | ✓ | — | — | PA |
| Gold Elite Saver Plus | Tier 5 - Specialty | ✓ | — | — | PA |
| Silver Simple Diabetes | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Classic 4700 | with Atrium Health | Tier 5 - Specialty | ✓ | — | — | PA |
| Bronze Classic Standard | Tier 5 - Specialty | ✓ | — | — | PA |
UnitedHealthcare
13 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Bronze Standard (No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Gold Standard (No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Bronze Standard+ Dental + Vision (No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Silver Standard (No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | Tier 3 - Preferred Brand | — | — | — | None |