Methitest

Generic: methyltestosterone

10 MG — Tablet

Androgen

Also known as: methitest tabs 10mg methyltestosterone Methitest 10 Mg Tablet Methitest Tabs 10mg
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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: 13 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Standard Gold with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Standard Silver with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Standard Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 4 - Non-Preferred — — — None
Everyday Bronze Tier 4 - Non-Preferred — — — None
Elite Bronze Tier 4 - Non-Preferred — — — None
Clear Silver with $0 Insulin Options Tier 4 - Non-Preferred — — — None
Standard Expanded Bronze Tier 4 - Non-Preferred — — — None
Standard Silver Tier 4 - Non-Preferred — — — None
Standard Gold Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Elite Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Focused Silver with Atrium Health Tier 4 - Non-Preferred — — — None
Complete Gold with Atrium Health Tier 4 - Non-Preferred — — — None
Standard Expanded Bronze with Atrium Health Tier 4 - Non-Preferred — — — None
Standard Silver with Atrium Health Tier 4 - Non-Preferred — — — None
Standard Gold with Atrium Health Tier 4 - Non-Preferred — — — None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Complete Gold + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Standard Silver + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Standard Expanded Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Everyday Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Elite Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 13 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 4 - Specialty — — — None
Cigna Plus NC 4-Tier Formulary 2026
via Methyltestosterone 		Tier 4 - Specialty — — — None
Source: CMS QHP JSON  ·  Formulary date: May 13, 2026  ·  Checked: 13 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Alignment Health NC Duals (HMO-POS D-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Dual (HMO D-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Value Plus (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Prime (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Care (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Full Dual Care (HMO D-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Extra (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Giveback (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Chronic Care (HMO C-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Chronic Care Value (HMO C-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health Platinum (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health smartHMO (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health Platinum Select (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health AVA (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Troy Medicare (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
AmeriHealth Caritas VIP Care (HMO D-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 13 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic ✓ — — PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic ✓ — — PA
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic ✓ — — PA
NC State Health Plan - 80/20 Plus PPO 2026
via Methyltestosterone 		Tier 2 - Non-Preferred Generic ✓ — — PA
NC State Health Plan - HDHP 2026
via Methyltestosterone 		Tier 2 - Non-Preferred Generic ✓ — — PA
NC State Health Plan - 70/30 Standard PPO 2026
via Methyltestosterone 		Tier 2 - Non-Preferred Generic ✓ — — PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 13 hours, 12 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026
via Methyltestosterone 		Tier 4 - Higher Cost — — — None
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