Dojolvi

Generic: triheptanoin

1000 MG — Solution

Also known as: triheptanoin

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 7 hours, 18 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 5 - Specialty	✓	—	— Limited Distribution	PA
BCBSNC Blue Advantage 2026	Tier 5 - Specialty	✓	—	— Limited Distribution	PA
BCBSNC Blue Care 2026	Tier 5 - Specialty	✓	—	— Limited Distribution	PA
BCBSNC Blue Value 2026	Tier 5 - Specialty	✓	—	— Limited Distribution	PA
BCBSNC Blue Local 2026	Tier 5 - Specialty	✓	—	— Limited Distribution	PA

3 plans

Source: CMS QHP JSON · Formulary date: Sep 16, 2026 · Checked: 7 hours, 18 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
PruittHealth Premier (HMO I-SNP)	Tier 1 - Preferred Generic	✓	—	—	PA
NHC Advantage (HMO I-SNP)	Tier 1 - Preferred Generic	✓	—	—	PA
Senior Care (HMO I-SNP)	Tier 5 - Specialty	✓	—	—	PA