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 Gold with Atrium Health + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Clear Silver with $0 Insulin Options
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Expanded Bronze with Atrium Health
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Silver with Atrium Health
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Standard Gold with Atrium Health
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via tafluprost |
Tier 2 - Generic | — | — | — | None |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via tafluprost |
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 tafluprost |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Standard Option 2026
via tafluprost |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Focus 2026
via tafluprost |
Tier 1 - Generic | — | — | — | None |
|
BCBS Federal Basic Option 2026
via Zioptan |
Tier 3 - Non-Preferred Brand | — | — | — | None |
|
BCBS Federal Standard Option 2026
via Zioptan |
Tier 3 - Non-Preferred Brand | — | — | — | None |
NC Medicaid PDL
2 plansNC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 70/30 Standard PPO 2026
via tafluprost |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via tafluprost |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via tafluprost |
Tier 1 - Preferred Generic | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Zioptan |
Tier 3 - Non-Preferred Brand | — | ✓ | — | ST |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Zioptan |
Tier 3 - Non-Preferred Brand | — | ✓ | — | ST |
|
NC State Health Plan - HDHP 2026
via Zioptan |
Tier 3 - Non-Preferred Brand | — | ✓ | — | ST |