Jesduvroq

Generic: daprodustat

1 MG — Tablet

Also known as: Jesduvroq Oral Tablet daprodustat

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  ·  Checked: 6 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 5 - Specialty PA
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 5 - Specialty PA
Source: Excel (XLSX)  ·  Formulary date: May 29, 2026  ·  Checked: 6 hours, 45 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via daprodustat
Tier 3 - Non-Formulary PA
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