Apretude

Generic: cabotegravir im

600MG/3ML — Vial

FLUOROQUINOLONES

Also known as: APRETUDE SUER 600MG/3ML Apretude Er 600 Mg/3 Ml Vial

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: Apr 1, 2026  ·  Checked: 7 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 2 - Preferred Brand NCTM for HIV PrEP PA
BCBS Federal Basic Option 2026 Tier 2 - Preferred Brand NCTM for HIV PrEP PA
BCBS Federal Focus 2026 Tier 2 - Preferred Brand NCTM for HIV PrEP PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 7 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 2026 Tier A - ACA $0 Copay Limited Distribution None
BCBSNC Blue Value 2026 Tier A - ACA $0 Copay Limited Distribution None
BCBSNC Blue Advantage 2026 Tier A - ACA $0 Copay Limited Distribution None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier A - ACA $0 Copay Limited Distribution None
BCBSNC Blue Local 2026 Tier A - ACA $0 Copay Limited Distribution None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 7 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 4 - Specialty Limited Distribution; Specialty Pharmacy Required None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 7 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 0 - $0 Copay (ACA Preventive) QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 0 - $0 Copay (ACA Preventive) QL
NC State Health Plan - HDHP 2026 Tier 0 - $0 Copay (ACA Preventive) QL
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