x0.125mg & 210 x0.25mg, titr pk(mo3)126x0.125mg&42x0.25mg
0.125mg, 0.25mg, 0.125mg, 0.25mg
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Advantage 2026 | Tier 4 - Non-Preferred | ✓ | — | — | PA |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 4 - Non-Preferred | ✓ | — | — | PA |
| BCBSNC Blue Local 2026 | Tier 4 - Non-Preferred | ✓ | — | — | PA |
| BCBSNC Blue Care 2026 | Tier 4 - Non-Preferred | ✓ | — | — | PA |
| BCBSNC Blue Value 2026 | Tier 4 - Non-Preferred | ✓ | — | — | PA |