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Home › Medications › Nystatin / triamcinolone (Mycolog II and others) › Tier 4 plans

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Nystatin / triamcinolone (Mycolog II and others) — plans on this site that list it on Tier 4

749 plans published on this site list this drug on Tier 4, grouped by company. Plans are sold by county — the service area under each plan shows where it is offered.

AMH Health

5 plans on this site

Alignment Health Plan

72 plans on this site

Anthem Blue Cross

7 plans on this site

Anthem Blue Cross Partnership Plan

5 plans on this site

Anthem Blue Cross and Blue Shield

24 plans on this site

Anthem Blue Cross and Blue Shield HP

2 plans on this site

Anthem HealthKeepers

5 plans on this site

Baylor Scott & White Health Plan

6 plans on this site

Blue Cross and Blue Shield of Alabama

2 plans on this site

Blue Cross and Blue Shield of IL, NM

4 plans on this site

Blue Cross and Blue Shield of Kansas

3 plans on this site

Blue Plus

1 plan on this site

Blue Shield of California

9 plans on this site

Capital Blue Cross

10 plans on this site

Capital Health Plan

2 plans on this site

CarePlus Health Plans, Inc.

17 plans on this site

Geisinger Gold

9 plans on this site

Gold Coast Health Plan

1 plan on this site

HealthSpring

15 plans on this site

Healthy Blue

3 plans on this site

Humana

486 plans on this site

Jefferson Health Plans

6 plans on this site

PrimeTime Health Plan

3 plans on this site

Regence BlueCross BlueShield of Oregon

3 plans on this site

Regence BlueShield

1 plan on this site

Solis Health Plans

5 plans on this site

UPMC for Life

11 plans on this site

UPMC for Life Complete Care

1 plan on this site

Wellpoint

30 plans on this site

iCare

1 plan on this site

A tier is not a price; what you pay depends on your plan, pharmacy, and benefit stage.

Source: CMS Prescription Drug Plan Formulary data + this site's published plan records · List built 2026-11-08

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