Tiazac

Generic: diltiazem hcl

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 18 hours, 26 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026 via diltiazem hcl extended release beads cp24	Tier 1 - Generic	—	—	—	None
BCBS Federal Basic Option 2026 via diltiazem hcl extended release beads cp24	Tier 1 - Generic	—	—	—	None
BCBS Federal Standard Option 2026 via diltiazem hcl extended release beads cp24	Tier 1 - Generic	—	—	—	None

10 plans

Source: PDF · Formulary date: May 1, 2026 · Checked: 18 hours, 26 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Value 2026 via diltiazem hcl	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via diltiazem hcl	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Local 2026 via diltiazem hcl	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Care 2026 via diltiazem hcl	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Advantage 2026 via diltiazem hcl	Tier 1 - Lowest Cost Generic	—	—	—	None
BCBSNC Blue Local 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Care 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Value 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Advantage 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None

9 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 18 hours, 26 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via diltiazem hcl extended release beads cp24	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026 via diltiazem hcl extended release beads cp24	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via diltiazem hcl extended release beads cp24	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via diltiazem hcl	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via diltiazem hcl	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026 via diltiazem hcl	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via diltiazem hcl tb24	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via diltiazem hcl tb24	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via diltiazem hcl tb24	Not Covered	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: May 29, 2026 · Checked: 18 hours, 26 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via diltiazem hcl	Tier 1 - Basic Core Formulary	—	—	—	None

2 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 18 hours, 25 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026 via tiadylt er	Tier 2 - Lower Cost	—	—	—	None
UnitedHealthcare NC Individual & Family 2026 via diltiazem hcl	Tier 2 - Lower Cost	—	—	—	None