tobramycin inhalation

Solution

Antibiotics

Also known as: Tobi
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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.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026
via Tobi 		Tier 5 - Specialty — — ✓ QL
BCBSNC Blue Advantage 2026
via Tobi 		Tier 5 - Specialty — — ✓ QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Tobi 		Tier 5 - Specialty — — ✓ QL
BCBSNC Blue Local 2026
via Tobi 		Tier 5 - Specialty — — ✓ QL
BCBSNC Blue Care 2026
via Tobi 		Tier 5 - Specialty — — ✓ QL
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 23 hours, 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP)
via Tobi 		Tier 1 - Preferred Generic — — ✓ 224 per 56 days QL
AARP Medicare Advantage from UHC NC-0004 (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0016 (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0017 (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0019 (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
Erickson Advantage Signature (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
Erickson Advantage Guardian (HMO-POS I-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
Erickson Advantage Freedom (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
Erickson Advantage Liberty (HMO-POS)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Complete Care NC-25 (HMO-POS C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Complete Care NC-27 (HMO-POS C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Complete Care NC-28 (HMO-POS C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
Erickson Advantage Champion (HMO-POS C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
Aetna Medicare Signature (HMO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Dual (HMO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature (HMO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Value Plus (HMO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Prime (HMO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature Care (HMO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Full Dual Care (HMO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Enhanced (HMO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Enhanced (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Enhanced (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature Extra (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature Giveback (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Signature (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Chronic Care (HMO C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Aetna Medicare Chronic Care Value (HMO C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
DEVOTED DUAL FULL 013 NC (HMO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL 009 NC (HMO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CORE 001 NC (HMO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED GIVEBACK 002 NC (HMO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED GIVEBACK 012 NC (HMO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 001 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 002 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 003 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 004 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 005 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 006 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 008 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 009 NC (PPO)
via Tobi 		Tier 5 - Specialty ✓ — — PA
Troy Medicare (HMO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
AmeriHealth Caritas VIP Care (HMO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 56 days PA | QL
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Dual Complete NC-S001 (PPO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
UHC Dual Complete NC-S2 (PPO D-SNP)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
AARP Medicare Advantage from UHC NC-0001 (PPO)
via Tobi 		Tier 5 - Specialty ✓ — ✓ 224 per 28 days PA | QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 47 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Preferred ✓ ✓ — PA | ST
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