emtricitabine-tenofovir disoproxil fumarate

100-150 mg, 133-200 mg, 167-250 mg — Tablet

ANTIVIRALS

Also known as: emtricitabine-tenofovir disoproxil fumarate tab 100-150 mg emtricitabine-tenofovir disoproxil fumarate tab 133-200 mg emtricitabine-tenofovir disoproxil fumarate tab 167-250 mg emtricitabine-tenofovir disoproxil fumarate tab 100-150 mg, 133-200 mg, 167-250 mg emtricitabine-tenofovir disoproxil fumarate tab 200-300 mg emtricitabine-tenofovir disoproxil fumarate tab

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: 17 hours, 39 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 1 - Generic NCTM for HIV PrEP None
BCBS Federal Basic Option 2026 Tier 1 - Generic NCTM for HIV PrEP None
BCBS Federal Focus 2026 Tier 1 - Generic NCTM for HIV PrEP None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 39 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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