tretinoin microspheres

0.04 %, 0.06 %, 0.08 %, 0.1 % — Gel

ACNE AGENTS

Also known as: RETIN-A MICRO PUMP TRETINOIN MICROSPHERE RETIN-A MICRO

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: Oct 1, 2026  ·  Checked: 18 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via tretinoin microsphere
Tier 1 - Generic ✓ — — PA
BCBS Federal Focus 2026
via tretinoin microsphere
Tier 1 - Generic ✓ — — PA
BCBS Federal Basic Option 2026
via tretinoin microsphere
Tier 1 - Generic ✓ — — PA
BCBS Federal Standard Option 2026
via Retin-A Micro Pump
Tier 3 - Non-Preferred Brand ✓ — — PA
BCBS Federal Basic Option 2026
via Retin-A Micro Pump
Tier 3 - Non-Preferred Brand ✓ — — PA
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 18 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via tretinoin microsphere
Tier 1 - Preferred Generic ✓ — — PA
NC State Health Plan - 70/30 Standard PPO 2026
via tretinoin microsphere
Tier 1 - Preferred Generic ✓ — — PA
NC State Health Plan - HDHP 2026
via tretinoin microsphere
Tier 1 - Preferred Generic ✓ — — PA
NC State Health Plan - 70/30 Standard PPO 2026
via Retin-A Micro Pump
Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Retin-A Micro Pump
Not Covered — — — None
NC State Health Plan - HDHP 2026
via Retin-A Micro Pump
Not Covered — — — None
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 18 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA
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