vitamin B6

50 MG — Tablet

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: Oct 13, 2026  ·  Checked: 10 hours, 16 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Elite + PCP Saver Plus 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 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
Silver Simple Diabetes 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 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
Secure | with Atrium Health Tier 2 - Generic — — — None
Silver Classic | with Atrium Health Tier 2 - Generic — — — None
Silver Simple Diabetes | with Atrium Health Tier 2 - Generic — — — None
Silver Simple PCP Saver | with Atrium Health Tier 2 - Generic — — — None
Bronze Simple Diabetes | with Atrium Health Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus with Adult Dental & Vision | 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
69803NC0010074 Tier 2 - Generic — — — None
69803NC0010075 Tier 2 - Generic — — — None
69803NC0010076 Tier 2 - Generic — — — None
69803NC0010077 Tier 2 - Generic — — — None
69803NC0010078 Tier 2 - Generic — — — None
69803NC0010079 Tier 2 - Generic — — — None
69803NC0010080 Tier 2 - Generic — — — None
69803NC0010081 Tier 2 - Generic — — — None
69803NC0010082 Tier 2 - Generic — — — None
69803NC0010083 Tier 2 - Generic — — — None
69803NC0010084 Tier 2 - Generic — — — None
69803NC0010085 Tier 2 - Generic — — — None
Bronze Elite + PCP Saver Plus with Adult Dental & Vision Tier 2 - Generic — — — None
Bronze Simple Diabetes Tier 2 - Generic — — — None
Silver Core Plan Tier 2 - Generic — — — None
Silver Core Plan | with Atrium Health Tier 2 - Generic — — — None
Silver Simple Diabetes with Adult Dental & Vision Tier 2 - Generic — — — None
69803NC0010108 Tier 2 - Generic — — — None
69803NC0010109 Tier 2 - Generic — — — None
69803NC0010110 Tier 2 - Generic — — — None
69803NC0010111 Tier 2 - Generic — — — None
69803NC0010112 Tier 2 - Generic — — — None
69803NC0010113 Tier 2 - Generic — — — None
69803NC0010114 Tier 2 - Generic — — — None
69803NC0010115 Tier 2 - Generic — — — None
69803NC0010116 Tier 2 - Generic — — — None
69803NC0010117 Tier 2 - Generic — — — None
Bronze Simple Diabetes with Adult Dental & Vision | with Atrium Health Tier 2 - Generic — — — None
Silver Simple Diabetes with Adult Dental & Vision | with Atrium Health Tier 2 - Generic — — — None
Something not right?