Journavx

Generic: suzetrigine

50 MG — Tablet

Sodium Channel Blocker

Also known as: suzetrigine JOURNAVX TABS 50MG

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: 20 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 2 - Preferred Brand QL
BCBS Federal Standard Option 2026 Tier 3 - Non-Preferred Brand QL
BCBS Federal Basic Option 2026 Tier 3 - Non-Preferred Brand QL
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 20 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Provider Partners North Carolina Essential Plan (HMO I-SNP) Tier 1 - Preferred Generic 30 per 90 days QL
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic 30 per 90 days QL
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Tier 1 - Preferred Generic 30 per 90 days QL
Provider Partners North Carolina Community Plan (HMO I-SNP) Tier 1 - Preferred Generic 30 per 90 days QL
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) Tier 4 - Non-Preferred 30 per 90 days QL
HealthTeam Advantage Plan I (PPO) Tier 4 - Non-Preferred 30 per 90 days QL
HealthTeam Advantage Plan II (PPO) Tier 4 - Non-Preferred 30 per 90 days QL
HealthTeam Advantage Vitality Plan (PPO) Tier 4 - Non-Preferred 30 per 90 days QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 20 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 20 hours, 37 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via suzetrigine
Tier 3 - Non-Formulary QL
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