Apomorphine

30 MG/3 ML — Cartridge

Anti-Parkinson And Restless Leg Syndrome Agents

Also known as: Apokyn Apomorphine 30 Mg/3 Ml Cartridge

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: Jul 1, 2026  ·  Checked: 6 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Apokyn
Tier 5 - Specialty None
BCBSNC Blue Home with UNC Health Alliance 2026
via Apokyn
Tier 5 - Specialty None
BCBSNC Blue Local 2026
via Apokyn
Tier 5 - Specialty None
BCBSNC Blue Care 2026
via Apokyn
Tier 5 - Specialty None
BCBSNC Blue Value 2026
via Apokyn
Tier 5 - Specialty None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 6 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard Tier 5 - Specialty PA | QL
Connect Bronze RD CMS Standard Tier 5 - Specialty PA | QL
Connect Gold RD CMS Standard Tier 5 - Specialty PA | QL
Connect myDiabetesCare Silver Tier 5 - Specialty PA | QL
Connect Silver RD 2200 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Gold 1500 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect myDiabetesCare Bronze Tier 5 - Specialty PA | QL
Connect Bronze 5500 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Bronze RD 6000 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Silver 3500 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Bronze RD 5000 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Silver RD 3500 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Bronze 7000 HSA Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Silver 4400 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Silver RD 5000 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Silver 3000 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Bronze 6500 Indiv Med Deductible Tier 5 - Specialty PA | QL
Connect Silver CMS Standard Tier 5 - Specialty PA | QL
Connect Silver RD CMS Standard Tier 5 - Specialty PA | QL
Connect Gold CMS Standard Tier 5 - Specialty PA | QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 6 hours, 57 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred None
NC Medicaid Preferred Drug List 2026
via Apokyn
Non-Preferred None
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