Fyremadel

Generic: ganirelix acetate

0.25 MG — Prefilled Syringe

Gonadotropin Releasing Hormone Receptor Antagonist

Also known as: ganirelix acetate

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Formulary date: Jan 1, 2026  ·  Checked: 20 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Gold with Atrium Health + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Standard Silver with Atrium Health
via ganirelix acetate
Tier 5 - Specialty PA
Standard Gold with Atrium Health
via ganirelix acetate
Tier 5 - Specialty PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Complete Gold + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Everyday Bronze + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Elite Bronze + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Everyday Bronze with Atrium Health + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Elite Bronze with Atrium Health + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Focused Silver with Atrium Health + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Complete Gold with Atrium Health + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Standard Expanded Bronze + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Standard Silver + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Standard Gold + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Standard Silver with Atrium Health + Vision + Adult Dental
via ganirelix acetate
Tier 5 - Specialty PA
Complete Gold Tier 5 - Specialty PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 5 - Specialty PA
Everyday Bronze Tier 5 - Specialty PA
Elite Bronze Tier 5 - Specialty PA
Clear Silver with $0 Insulin Options Tier 5 - Specialty PA
Standard Expanded Bronze Tier 5 - Specialty PA
Standard Silver Tier 5 - Specialty PA
Standard Gold with Atrium Health Tier 5 - Specialty PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 5 - Specialty PA
Complete Gold + Vision + Adult Dental Tier 5 - Specialty PA
Everyday Bronze + Vision + Adult Dental Tier 5 - Specialty PA
Elite Bronze + Vision + Adult Dental Tier 5 - Specialty PA
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 5 - Specialty PA
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 5 - Specialty PA
Focused Silver with Atrium Health + Vision + Adult Dental Tier 5 - Specialty PA
Complete Gold with Atrium Health + Vision + Adult Dental Tier 5 - Specialty PA
Standard Expanded Bronze + Vision + Adult Dental Tier 5 - Specialty PA
Standard Silver + Vision + Adult Dental Tier 5 - Specialty PA
Standard Gold + Vision + Adult Dental Tier 5 - Specialty PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 5 - Specialty PA
Standard Silver with Atrium Health + Vision + Adult Dental Tier 5 - Specialty PA
Standard Gold with Atrium Health + Vision + Adult Dental Tier 5 - Specialty PA
Standard Gold Tier 5 - Specialty PA
Everyday Bronze with Atrium Health Tier 5 - Specialty PA
Elite Bronze with Atrium Health Tier 5 - Specialty PA
Focused Silver with Atrium Health Tier 5 - Specialty PA
Complete Gold with Atrium Health Tier 5 - Specialty PA
Standard Expanded Bronze with Atrium Health Tier 5 - Specialty PA
Standard Silver with Atrium Health Tier 5 - Specialty PA
Elite Bronze
via ganirelix acetate
Tier 5 - Specialty PA
Clear Silver with $0 Insulin Options
via ganirelix acetate
Tier 5 - Specialty PA
Standard Expanded Bronze
via ganirelix acetate
Tier 5 - Specialty PA
Standard Silver
via ganirelix acetate
Tier 5 - Specialty PA
Standard Gold
via ganirelix acetate
Tier 5 - Specialty PA
Complete Gold
via ganirelix acetate
Tier 5 - Specialty PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via ganirelix acetate
Tier 5 - Specialty PA
Everyday Bronze
via ganirelix acetate
Tier 5 - Specialty PA
Everyday Bronze with Atrium Health
via ganirelix acetate
Tier 5 - Specialty PA
Elite Bronze with Atrium Health
via ganirelix acetate
Tier 5 - Specialty PA
Focused Silver with Atrium Health
via ganirelix acetate
Tier 5 - Specialty PA
Complete Gold with Atrium Health
via ganirelix acetate
Tier 5 - Specialty PA
Standard Expanded Bronze with Atrium Health
via ganirelix acetate
Tier 5 - Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026
via ganirelix acetate
Tier 2 - Preferred Brand PA
BCBS Federal Standard Option 2026
via ganirelix acetate
Tier 4 - Preferred Specialty PA
BCBS Federal Basic Option 2026
via ganirelix acetate
Tier 4 - Preferred Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 2026
via ganirelix acetate
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Value 2026
via ganirelix acetate
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Advantage 2026
via ganirelix acetate
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Home with UNC Health Alliance 2026
via ganirelix acetate
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Local 2026
via ganirelix acetate
Tier 2 - Medium Cost Generic/Brand QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via fyremadel sosy
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via fyremadel sosy
Not Covered None
NC State Health Plan - HDHP 2026
via fyremadel sosy
Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026
via Ganirelix Acetate Sosy
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via Ganirelix Acetate Sosy
Not Covered None
NC State Health Plan - HDHP 2026
via Ganirelix Acetate Sosy
Not Covered None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 20 hours, 46 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via ganirelix acetate
Unknown PA
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