Lurasidone

120 Mg — Tablet

Also known as: Latuda Lurasidone 20 Mg Tablet Lurasidone 40 Mg Tablet Lurasidone 60 Mg Tablet Lurasidone 80 Mg Tablet Lurasidone 120 Mg Tablet

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

4 plans

Source: CMS QHP JSON · Formulary date: Sep 22, 2026 · Checked: 23 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via Latuda	Tier 4 - Non-Preferred	—	✓	✓	ST \| QL
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via Latuda	Tier 4 - Non-Preferred	—	✓	✓	ST \| QL
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via Latuda	Tier 4 - Non-Preferred	—	✓	✓	ST \| QL
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals via Latuda	Tier 4 - Non-Preferred	—	✓	✓	ST \| QL

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 23 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Basic Option 2026 via Latuda	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026 via Latuda	Tier 3 - Non-Preferred Brand	—	—	—	None

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 23 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Care 2026 via Latuda	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Local 2026 via Latuda	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Home with UNC Health Alliance 2026 via Latuda	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Advantage 2026 via Latuda	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Value 2026 via Latuda	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 23 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	✓	—	ST
NC Medicaid Preferred Drug List 2026 via Latuda	Non-Preferred	—	✓	—	ST

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 23 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Latuda	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Latuda	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Latuda	Not Covered	—	—	—	None