tropicamide

5%, 1% — Ophthalmic Solution

CYCLOPLEGIC MYDRIATICS

Also known as: tropicamide soln .5%, 1%

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 12 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 2 - Generic None
Everyday Bronze Tier 2 - Generic None
Elite Bronze Tier 2 - Generic None
Clear Silver with $0 Insulin Options Tier 2 - Generic None
Standard Expanded Bronze Tier 2 - Generic None
Standard Silver Tier 2 - Generic None
Standard Gold Tier 2 - Generic None
Everyday Bronze with Atrium Health Tier 2 - Generic None
Elite Bronze with Atrium Health Tier 2 - Generic None
Focused Silver with Atrium Health Tier 2 - Generic None
Complete Gold with Atrium Health Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health Tier 2 - Generic None
Standard Silver with Atrium Health Tier 2 - Generic None
Standard Gold with Atrium Health Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 2 - Generic None
Complete Gold + Vision + Adult Dental Tier 2 - Generic None
Everyday Bronze + Vision + Adult Dental Tier 2 - Generic None
Elite Bronze + Vision + Adult Dental Tier 2 - Generic None
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Focused Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Complete Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Standard Expanded Bronze + Vision + Adult Dental Tier 2 - Generic None
Standard Silver + Vision + Adult Dental Tier 2 - Generic None
Standard Gold + Vision + Adult Dental Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Standard Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Standard Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Complete Gold Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 12 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026 Tier 1 - Generic None
BCBS Federal Focus 2026 Tier 1 - Generic None
BCBS Federal Standard Option 2026 Tier 1 - Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 12 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard Tier 2 - Generic None
Connect myDiabetesCare Silver Tier 2 - Generic None
Connect Silver RD 2200 Indiv Med Deductible Tier 2 - Generic None
Connect Gold 1500 Indiv Med Deductible Tier 2 - Generic None
Connect myDiabetesCare Bronze Tier 2 - Generic None
Connect Bronze 5500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 6000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 2 - Generic None
Connect Silver 4400 Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3000 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 6500 Indiv Med Deductible Tier 2 - Generic None
Connect Silver CMS Standard Tier 2 - Generic None
Connect Silver RD CMS Standard Tier 2 - Generic None
Connect Gold CMS Standard Tier 2 - Generic None
Connect Bronze RD CMS Standard Tier 2 - Generic None
Connect Gold RD CMS Standard Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 12 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
Source: CMS QHP JSON  ·  Checked: 12 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic None
Bronze Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic None
Bronze Simple Diabetes | with Atrium Health Tier 2 - Generic None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 2 - Generic None
Silver Simple Chronic Care CKM | with Atrium Health Tier 2 - Generic None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 2 - Generic None
AIAN Cost Share Tier 2 - Generic None
AIAN Cost Share | with Atrium Health Tier 2 - Generic None
Bronze Classic Standard Tier 2 - Generic None
Silver Classic Standard Tier 2 - Generic None
Gold Classic Standard Tier 2 - Generic None
Bronze Classic Standard | with Atrium Health Tier 2 - Generic None
Silver Classic Standard | with Atrium Health Tier 2 - Generic None
Gold Classic Standard | with Atrium Health Tier 2 - Generic None
Bronze Elite + PCP Saver Plus Tier 2 - Generic None
Silver Classic Tier 2 - Generic None
Secure Tier 2 - Generic None
Bronze Classic 4700 Tier 2 - Generic None
Silver Simple PCP Saver Tier 2 - Generic None
Gold Elite Saver Plus Tier 2 - Generic None
Silver Simple Diabetes Tier 2 - Generic None
Secure | with Atrium Health Tier 2 - Generic None
Bronze Classic 4700 | with Atrium Health Tier 2 - Generic None
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 2 - Generic None
Silver Simple Diabetes | with Atrium Health Tier 2 - Generic None
Silver Classic | with Atrium Health Tier 2 - Generic None
Silver Simple PCP Saver | with Atrium Health Tier 2 - Generic None
Gold Elite Saver Plus | with Atrium Health Tier 2 - Generic None
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