fosaprepitant

Vial

Also known as: Emend

Coverage by Insurer

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

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026 via Emend	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Emend	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Emend	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Emend	Tier 3 - High Cost Brand	—	—	—	None
BCBSNC Blue Advantage 2026 via Emend	Tier 3 - High Cost Brand	—	—	—	None

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 1 hour, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via Emend	Tier 4 - Specialty	✓	—	✓	PA \| QL

Medicare Part D

21 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 1 hour, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas VIP Care (HMO D-SNP) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Chronic Care Value (HMO C-SNP) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Troy Medicare (HMO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature (HMO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Dual (HMO D-SNP) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature (HMO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Value Plus (HMO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Prime (HMO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature Care (HMO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Full Dual Care (HMO D-SNP) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Enhanced (HMO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Enhanced (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Enhanced (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature Extra (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature Giveback (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Signature (PPO) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA
Aetna Medicare Chronic Care (HMO C-SNP) via Emend	Tier 4 - Non-Preferred	✓	—	—	PA

NC Medicaid PDL

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None
NC Medicaid Preferred Drug List 2026 via Focinvez	Non-Preferred	—	—	—	None
NC Medicaid Preferred Drug List 2026 via Emend	Non-Preferred	—	—	—	None