Viberzi

Generic: eluxadoline

75MG, 100MG — Tablet

URINARY ANTISPASMODICS

Also known as: eluxadoline VIBERZI TABS 75MG, 100MG

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: 22 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 2 - Preferred Brand PA
BCBS Federal Standard Option 2026 Tier 2 - Preferred Brand PA
BCBS Federal Basic Option 2026 Tier 2 - Preferred Brand PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026 Tier 3 - High Cost Brand PA | QL
BCBSNC Blue Value 2026 Tier 3 - High Cost Brand PA | QL
BCBSNC Blue Care 2026 Tier 3 - High Cost Brand PA | QL
BCBSNC Blue Advantage 2026 Tier 3 - High Cost Brand PA | QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 3 - High Cost Brand PA | QL
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 22 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic 60 per 30 days QL
Alignment Health AVA (PPO) Tier 5 - Specialty 60 per 30 days PA | QL
Alignment Health smartHMO (HMO) Tier 5 - Specialty 60 per 30 days PA | QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 5 - Specialty 60 per 30 days PA | QL
Alignment Health Platinum Select (HMO) Tier 5 - Specialty 60 per 30 days PA | QL
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 5 - Specialty 60 per 30 days PA | QL
Blue Medicare PPO Enhanced (PPO) Tier 5 - Specialty 60 per 30 days PA | QL
Blue Medicare Essential Plus (HMO-POS) Tier 5 - Specialty 60 per 30 days PA | QL
Blue Medicare Enhanced (HMO-POS) Tier 5 - Specialty 60 per 30 days PA | QL
Blue Medicare Choice (HMO) Tier 5 - Specialty 60 per 30 days PA | QL
Blue Medicare Essential (HMO) Tier 5 - Specialty 60 per 30 days PA | QL
Experience Health Medicare Advantage (HMO) Tier 5 - Specialty 60 per 30 days PA | QL
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 5 - Specialty 60 per 30 days PA | QL
Alignment Health Platinum (HMO) Tier 5 - Specialty 60 per 30 days PA | QL
Alignment Health NC Duals (HMO-POS D-SNP) Tier 5 - Specialty 60 per 30 days PA | QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 2 - Non-Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 2 - Non-Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 2 - Non-Preferred Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 22 hours, 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 4 - Higher Cost PA | QL
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