Foundayo
Generic: orforglipron calcium
0.8 MG, 14.5MG, 17.2 MG, 2.5 MG, 5.5 MG, 9 MG — Tablet
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
NC Medicaid PDL
1 planTRICARE
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 2 - Brand Formulary | ✓ | — | ✓ FOUNDAYO TO BE DISP AT A MAX QTY OF 30 TABLETS IN 23 DAYS OR 60 TABLETS IN 45 DAYS | PA | QL PA: TPA - SELECT DRUGS REQUIRES PRIOR AUTHORIZATION (NEW TO MARKET DRUGS); Quantity limit |