Arakoda

Generic: tafenoquine

100MG — Tablet

ANTIMALARIALS

Also known as: ARAKODA TABS 100MG
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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.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 11 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Gold with Atrium Health + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Expanded Bronze with Atrium Health
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Silver with Atrium Health
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Gold with Atrium Health
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Expanded Bronze + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Silver + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Gold + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Silver with Atrium Health + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold with Atrium Health
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Expanded Bronze
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Complete Gold
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Clear Silver with $0 Insulin Options
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Silver
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Standard Gold
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Everyday Bronze with Atrium Health
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Elite Bronze with Atrium Health
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Focused Silver with Atrium Health
via Krintafel 		Tier 4 - Non-Preferred — — ✓ QL
Source: CMS QHP JSON  ·  Checked: 11 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Gold Premier + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Gold Signature + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Premier + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Signature + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
AmeriHealth Caritas Next Silver Essential + No Referrals
via Krintafel 		Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 3 - Non-Preferred Brand — — — None
BCBS Federal Basic Option 2026 Tier 3 - Non-Preferred Brand — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Krintafel 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Krintafel 		Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Krintafel 		Not Covered — — — None
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 11 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Standard (No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Gold Standard (No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Standard+ Dental + Vision (No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
UHC Silver Standard (No Referrals)
via Krintafel 		Tier 3 - Preferred Brand — — ✓ QL
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