Vivelle-Dot

Generic: estradiol td

Patch

CORTICOSTEROIDS

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: 20 hours, 29 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Advantage 2026
via Climara
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Home with UNC Health Alliance 2026
via Climara
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Local 2026
via Climara
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Care 2026
via Climara
Tier 2 - Medium Cost Generic/Brand None
BCBSNC Blue Value 2026
via Climara
Tier 2 - Medium Cost Generic/Brand None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 29 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Climara
Non-Preferred None
NC Medicaid Preferred Drug List 2026 Non-Preferred None
Something not right?