Dengvaxia

Generic: dengue virus live antigen, CYD serotype

Suspension

Vaccines

Also known as: DENGVAXIA SUS dengue virus live antigen, CYD serotype

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: 13 hours, 34 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) None
NC State Health Plan - HDHP 2026 Tier 0 - $0 Copay (ACA Preventive) None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 0 - $0 Copay (ACA Preventive) None
Source: CMS QHP JSON  ·  Checked: 13 hours, 34 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 0 - $0 Preventive None
Bronze Classic 4700 | with Atrium Health Tier 0 - $0 Preventive None
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 0 - $0 Preventive None
Silver Classic | with Atrium Health Tier 0 - $0 Preventive None
Silver Simple Diabetes | with Atrium Health Tier 0 - $0 Preventive None
Silver Simple PCP Saver | with Atrium Health Tier 0 - $0 Preventive None
Gold Elite Saver Plus | with Atrium Health Tier 0 - $0 Preventive None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 0 - $0 Preventive None
Bronze Simple Chronic Care CKM | with Atrium Health Tier 0 - $0 Preventive None
Bronze Simple Diabetes | with Atrium Health Tier 0 - $0 Preventive None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 0 - $0 Preventive None
Silver Simple Chronic Care CKM | with Atrium Health Tier 0 - $0 Preventive None
AIAN Cost Share Tier 0 - $0 Preventive None
AIAN Cost Share | with Atrium Health Tier 0 - $0 Preventive None
Bronze Classic Standard Tier 0 - $0 Preventive None
Silver Classic Standard Tier 0 - $0 Preventive None
Gold Classic Standard Tier 0 - $0 Preventive None
Bronze Classic Standard | with Atrium Health Tier 0 - $0 Preventive None
Silver Classic Standard | with Atrium Health Tier 0 - $0 Preventive None
Gold Classic Standard | with Atrium Health Tier 0 - $0 Preventive None
Bronze Elite + PCP Saver Plus Tier 0 - $0 Preventive None
Silver Classic Tier 0 - $0 Preventive None
Secure Tier 0 - $0 Preventive None
Bronze Classic 4700 Tier 0 - $0 Preventive None
Silver Simple PCP Saver Tier 0 - $0 Preventive None
Gold Elite Saver Plus Tier 0 - $0 Preventive None
Silver Simple Diabetes Tier 0 - $0 Preventive None
Secure | with Atrium Health Tier 0 - $0 Preventive None
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 13 hours, 34 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Bronze Standard (No Referrals) Tier 0 - $0 Preventive QL
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 0 - $0 Preventive QL
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) Tier 0 - $0 Preventive QL
UHC Gold Standard (No Referrals) Tier 0 - $0 Preventive QL
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) Tier 0 - $0 Preventive QL
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 0 - $0 Preventive QL
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals Tier 0 - $0 Preventive QL
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 0 - $0 Preventive QL
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) Tier 0 - $0 Preventive QL
UHC Bronze Standard+ Dental + Vision (No Referrals) Tier 0 - $0 Preventive QL
UHC Silver Value ($0 Virtual Urgent Care, No Referrals) Tier 0 - $0 Preventive QL
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 0 - $0 Preventive QL
UHC Silver Standard (No Referrals) Tier 0 - $0 Preventive QL
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