tretinoin microsphere gel / microsphere gel pump
Generic: tretinoin microsphere
04% — Gel
Also known as:
Retin-A Micro
tretinoin microsphere gel .04%, .08%, .1%
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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.
Blue Cross Blue Shield Federal
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Standard Option 2026
via tretinoin microsphere |
Tier 1 - Generic | ✓ | — | — | PA |
|
BCBS Federal Basic Option 2026
via tretinoin microsphere |
Tier 1 - Generic | ✓ | — | — | PA |
|
BCBS Federal Focus 2026
via tretinoin microsphere |
Tier 1 - Generic | ✓ | — | — | PA |
|
BCBS Federal Standard Option 2026
via Retin-A Micro |
Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
|
BCBS Federal Basic Option 2026
via Retin-A Micro |
Tier 3 - Non-Preferred Brand | ✓ | — | — | PA |
NC Medicaid PDL
1 planNC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - HDHP 2026
via tretinoin microsphere |
Tier 2 - Non-Preferred Generic | ✓ | — | — | PA |
|
NC State Health Plan - 80/20 Plus PPO 2026
via tretinoin microsphere |
Tier 2 - Non-Preferred Generic | ✓ | — | — | PA |
|
NC State Health Plan - 70/30 Standard PPO 2026
via tretinoin microsphere |
Tier 2 - Non-Preferred Generic | ✓ | — | — | PA |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Retin-A Micro |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Retin-A Micro |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Retin-A Micro |
Not Covered | — | — | — | None |