Zomig
Generic: zolmitriptan
2.5mg, 5mg — Tablet
Also known as:
ZOMIG SOLN 2.5MG
ZOMIG SOLN 5MG
zomig tabs 2.5mg, 5mg
zolmitriptan
ZOMIG SOLN 2.5MG, 5MG
Zomig Tabs 2.5mg, 5mg
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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.
Ambetter (Centene)
58 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Everyday Bronze
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Elite Bronze
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Clear Silver with $0 Insulin Options
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Expanded Bronze
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Silver
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Expanded Bronze + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Gold + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Silver + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Focused Silver with Atrium Health | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Complete Gold with Atrium Health | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Expanded Bronze with Atrium Health | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Silver with Atrium Health | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Gold with Atrium Health | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Complete Gold + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Everyday Bronze + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Elite Bronze + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Silver + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Gold + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Complete Gold | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Everyday Bronze | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Elite Bronze | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Clear Silver with $0 Insulin Options | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Expanded Bronze | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Silver | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Standard Gold | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Everyday Bronze with Atrium Health | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
| Elite Bronze with Atrium Health | Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Elite Bronze + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Everyday Bronze + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Complete Gold + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Gold with Atrium Health
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Silver with Atrium Health
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Expanded Bronze with Atrium Health
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Complete Gold with Atrium Health
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Focused Silver with Atrium Health
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Elite Bronze with Atrium Health
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Everyday Bronze with Atrium Health
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Standard Gold
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
|
Complete Gold
via zolmitriptan |
Tier 2 - Generic | — | ✓ | ✓ | ST | QL |
Blue Cross Blue Shield Federal
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBS Federal Focus 2026 | Tier 1 - Generic | — | — | ✓ | QL |
|
BCBS Federal Standard Option 2026
via zolmitriptan |
Tier 1 - Generic | — | — | ✓ | QL |
| BCBS Federal Standard Option 2026 | Tier 1 - Generic | — | — | ✓ | QL |
|
BCBS Federal Basic Option 2026
via zolmitriptan |
Tier 1 - Generic | — | — | ✓ | QL |
| BCBS Federal Basic Option 2026 | Tier 1 - Generic | — | — | ✓ | QL |
|
BCBS Federal Focus 2026
via zolmitriptan |
Tier 1 - Generic | — | — | ✓ | QL |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Local 2026
via zolmitriptan |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Care 2026
via zolmitriptan |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Value 2026
via zolmitriptan |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Advantage 2026
via zolmitriptan |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via zolmitriptan |
Tier 2 - Medium Cost Generic/Brand | — | — | ✓ | QL |
Cigna
1 planMedicare Part D
24 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
PruittHealth Premier (HMO I-SNP)
via zolmitriptan |
Tier 1 - Preferred Generic | — | — | ✓ 18 per 30 days | QL |
|
NHC Advantage (HMO I-SNP)
via zolmitriptan |
Tier 1 - Preferred Generic | — | — | ✓ 18 per 30 days | QL |
|
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via zolmitriptan |
Tier 1 - Preferred Generic | — | — | ✓ 12 per 30 days | QL |
|
Provider Partners North Carolina Community Plan (HMO I-SNP)
via zolmitriptan |
Tier 1 - Preferred Generic | — | — | ✓ 12 per 30 days | QL |
|
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via zolmitriptan |
Tier 1 - Preferred Generic | — | — | ✓ 12 per 30 days | QL |
|
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via zolmitriptan |
Tier 1 - Preferred Generic | — | — | ✓ 18 per 30 days | QL |
|
Liberty Medicare Dual Plan (HMO D-SNP)
via zolmitriptan |
Tier 1 - Preferred Generic | — | — | ✓ 18 per 30 days | QL |
|
Senior Care (HMO I-SNP)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 18 per 30 days | QL |
|
Wellcare Simple (HMO-POS)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 18 per 28 days | QL |
|
Wellcare Simple Open (PPO)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 18 per 28 days | QL |
|
Liberty Medicare Advantage (HMO C-SNP)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 18 per 30 days | QL |
|
Troy Medicare (HMO)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 9 per 28 days | QL |
|
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 9 per 28 days | QL |
|
AmeriHealth Caritas VIP Care (HMO D-SNP)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 9 per 28 days | QL |
|
Wellcare Giveback Open (PPO)
via zolmitriptan |
Tier 2 - Generic | — | — | ✓ 18 per 28 days | QL |
|
HealthTeam Advantage Plan I (PPO)
via zolmitriptan |
Tier 3 - Preferred Brand | — | — | ✓ 12 per 30 days | QL |
|
HealthTeam Advantage Plan II (PPO)
via zolmitriptan |
Tier 3 - Preferred Brand | — | — | ✓ 12 per 30 days | QL |
|
HealthTeam Advantage Vitality Plan (PPO)
via zolmitriptan |
Tier 3 - Preferred Brand | — | — | ✓ 12 per 30 days | QL |
|
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via zolmitriptan |
Tier 3 - Preferred Brand | — | — | ✓ 12 per 30 days | QL |
|
Wellcare Assist Open (PPO)
via zolmitriptan |
Tier 4 - Non-Preferred | — | — | ✓ 18 per 28 days | QL |
|
Wellcare Dual Liberty Open (PPO D-SNP)
via zolmitriptan |
Tier 4 - Non-Preferred | — | — | ✓ 18 per 28 days | QL |
|
Wellcare Dual Access (HMO-POS D-SNP)
via zolmitriptan |
Tier 4 - Non-Preferred | — | — | ✓ 18 per 28 days | QL |
|
Wellcare Dual Liberty (HMO-POS D-SNP)
via zolmitriptan |
Tier 4 - Non-Preferred | — | — | ✓ 18 per 28 days | QL |
|
Wellcare Dual Reserve (HMO-POS D-SNP)
via zolmitriptan |
Tier 4 - Non-Preferred | — | — | ✓ 18 per 28 days | QL |
NC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 70/30 Standard PPO 2026
via zolmitriptan |
Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
| NC State Health Plan - HDHP 2026 | Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - 80/20 Plus PPO 2026
via zolmitriptan |
Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - HDHP 2026
via zolmitriptan |
Tier 1 - Preferred Generic | ✓ | — | ✓ | PA | QL |