ledipasvir

90 MG — Tablet

Hepatitis C Virus Nucleotide Analog NS5B Polymerase Inhibitor

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 Federal

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 23 hours, 56 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026 via Harvoni	Tier 2 - Preferred Brand	✓	—	—	PA
BCBS Federal Standard Option 2026 via Harvoni	Tier 4 - Preferred Specialty	✓	—	—	PA
BCBS Federal Basic Option 2026 via Harvoni	Tier 4 - Preferred Specialty	✓	—	—	PA

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 23 hours, 56 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026 via Harvoni	Tier 3 - High Cost Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Value 2026 via Harvoni	Tier 3 - High Cost Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Home with UNC Health Alliance 2026 via Harvoni	Tier 3 - High Cost Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Local 2026 via Harvoni	Tier 3 - High Cost Brand	✓	—	— Restricted Access	PA
BCBSNC Blue Care 2026 via Harvoni	Tier 3 - High Cost Brand	✓	—	— Restricted Access	PA

Medicare Part D

23 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 23 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Longevity Health Plan (HMO I-SNP)	Tier 1 - Preferred Generic	✓	—	✓ 28 per 28 days	PA \| QL
Wellcare Dual Reserve (HMO-POS D-SNP)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
HealthSpring True Choice (PPO) via Harvoni	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
HealthSpring TotalCare (HMO D-SNP) via Harvoni	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
HealthSpring TotalCare Plus (HMO D-SNP) via Harvoni	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
Wellcare Assist Open (PPO)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
Wellcare Dual Access (HMO-POS D-SNP)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
Wellcare Dual Liberty (HMO-POS D-SNP)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
HealthSpring Preferred (HMO) via Harvoni	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
HealthSpring Preferred Select (HMO) via Harvoni	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
HealthSpring Preferred Savings (HMO) via Harvoni	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
HealthSpring Preferred Plus (HMO) via Harvoni	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
Wellcare Simple Open (PPO)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
Wellcare Simple (HMO-POS)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
Wellcare Giveback Open (PPO)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL
Alignment Health Platinum (HMO)	Tier 5 - Specialty	✓	—	—	PA
Alignment Health NC Duals (HMO-POS D-SNP)	Tier 5 - Specialty	✓	—	—	PA
Alignment Health smartHMO (HMO)	Tier 5 - Specialty	✓	—	—	PA
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)	Tier 5 - Specialty	✓	—	—	PA
Alignment Health Platinum Select (HMO)	Tier 5 - Specialty	✓	—	—	PA
Alignment Health Heart & Diabetes Care (HMO C-SNP)	Tier 5 - Specialty	✓	—	—	PA
Alignment Health AVA (PPO)	Tier 5 - Specialty	✓	—	—	PA
Wellcare Dual Liberty Open (PPO D-SNP)	Tier 5 - Specialty	✓	—	✓ 28 per 28 days	PA \| QL

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 23 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 via Harvoni	Tier 5 - Preferred Brand Specialty	✓	—	✓ For genotypes	PA \| QL
NC State Health Plan - HDHP 2026 via Harvoni	Tier 5 - Preferred Brand Specialty	✓	—	✓ For genotypes	PA \| QL
NC State Health Plan - 80/20 Plus PPO 2026 via Harvoni	Tier 5 - Preferred Brand Specialty	✓	—	✓ For genotypes	PA \| QL