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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: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026
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Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Advantage 2026
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Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Home with UNC Health Alliance 2026
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Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Local 2026
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Tier 1 - Lowest Cost Generic QL
BCBSNC Blue Care 2026
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Tier 1 - Lowest Cost Generic QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
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Tier 1 - Preferred Generic PA | ST | QL
NC State Health Plan - HDHP 2026
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Tier 1 - Preferred Generic PA | QL
NC State Health Plan - HDHP 2026
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Tier 1 - Preferred Generic PA | ST | QL
NC State Health Plan - 70/30 Standard PPO 2026
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Tier 1 - Preferred Generic PA | ST | QL
NC State Health Plan - 80/20 Plus PPO 2026
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Tier 1 - Preferred Generic PA | QL
NC State Health Plan - 70/30 Standard PPO 2026
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Tier 1 - Preferred Generic PA | QL
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
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Tier 1 - Basic Core Formulary PA | QL
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 11 hours, 7 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 3 - Mid-Range Cost PA | QL
UnitedHealthcare NC Individual & Family 2026
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Unknown QL
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