Welchol

Generic: colesevelam hcl

AmeriHealth Caritas NC

10 plans

Source: CMS QHP JSON · Formulary date: Sep 22, 2026 · Checked: 14 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas Next Silver Premier + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via colesevelam hcl	Tier 2 - Generic	—	—	—	None

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 14 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Care 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None
BCBSNC Blue Local 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 Value 2026	Tier 2 - Medium Cost Generic/Brand	—	—	—	None

Cigna

20 plans

Source: PDF · Formulary date: Oct 7, 2026 · Checked: 14 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Connect Silver RD 3500 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Silver RD CMS Standard via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Silver RD 2200 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Gold RD CMS Standard via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Bronze 7000 HSA Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Silver 5000 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Silver 3600 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Silver 3000 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Bronze CMS Standard via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Silver CMS Standard via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Gold CMS Standard via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect myDiabetesCare Bronze via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect myDiabetesCare Silver via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Gold 1500 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Bronze RD 5000 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None
Connect Bronze RD CMS Standard via colesevelam hcl	Tier 3 - Preferred Brand	—	—	—	None

NC State Health Plan

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 14 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via colesevelam hcl	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - HDHP 2026 via colesevelam hcl	Tier 1 - Preferred Generic	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via colesevelam hcl	Tier 1 - Preferred Generic	—	—	—	None

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jul 31, 2026 · Checked: 14 hours, 54 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via colesevelam hcl	Tier 3 - Non-Formulary	—	—	—	None