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: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Silver + 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
Everyday Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Elite Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Elite 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
Standard Expanded Bronze + Vision + Adult Dental Tier 4 - Non-Preferred — — — None
Source: CMS QHP JSON  ·  Checked: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Signature + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Gold Premier + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Silver Premier + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Gold Signature + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Silver Essential + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Methyltestosterone 		Tier 2 - Generic ✓ — — PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect myDiabetesCare Bronze
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect myDiabetesCare Silver
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect myDiabetesCare Silver Tier 5 - Specialty — — — None
Connect Silver RD 2200 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Gold 1500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect myDiabetesCare Bronze Tier 5 - Specialty — — — None
Connect Bronze 5500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze RD 6000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver 3500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze RD 5000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver RD 3500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver 4400 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver RD 5000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver 3000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze 6500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver CMS Standard Tier 5 - Specialty — — — None
Connect Silver RD CMS Standard Tier 5 - Specialty — — — None
Connect Gold CMS Standard Tier 5 - Specialty — — — None
Connect Bronze RD CMS Standard Tier 5 - Specialty — — — None
Connect Gold RD CMS Standard Tier 5 - Specialty — — — None
Connect Bronze CMS Standard Tier 5 - Specialty — — — None
Connect Silver RD 2200 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Gold 1500 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Bronze 5500 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Bronze RD 6000 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Silver 3500 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Bronze RD 5000 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Silver RD 3500 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Bronze 7000 HSA Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Silver 4400 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Silver RD 5000 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Silver 3000 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Bronze 6500 Indiv Med Deductible
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Silver CMS Standard
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Silver RD CMS Standard
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Gold CMS Standard
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Bronze RD CMS Standard
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Gold RD CMS Standard
via Methyltestosterone 		Tier 5 - Specialty — — — None
Connect Bronze CMS Standard
via Methyltestosterone 		Tier 5 - Specialty — — — None
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Aetna Medicare Enhanced (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Full Dual Care (HMO D-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Care (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Prime (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Value Plus (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health Platinum (HMO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Alignment Health NC Duals (HMO-POS D-SNP)
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
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 Signature (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Extra (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (HMO)
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
Aetna Medicare Dual (HMO D-SNP)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (HMO)
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
Aetna Medicare Enhanced (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO)
via Methyltestosterone 		Tier 5 - Specialty ✓ — — PA
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 19 hours, 52 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 - HDHP 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
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
NC State Health Plan - 80/20 Plus PPO 2026
via Methyltestosterone 		Tier 2 - Non-Preferred Generic ✓ — — PA
Source: CMS QHP JSON  ·  Checked: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Simple Diabetes | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Classic 4700 | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Elite + PCP Saver Plus | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Classic | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Simple PCP Saver | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Gold Elite Saver Plus | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Simple Chronic Care CKM | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
AIAN Cost Share
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
AIAN Cost Share | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Simple Chronic Care CKM | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Simple Diabetes | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Classic Standard
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Classic Standard
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Gold Classic Standard
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Classic Standard | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Classic Standard | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Gold Classic Standard | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Elite + PCP Saver Plus
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Classic
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Secure
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Bronze Classic 4700
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Simple PCP Saver
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Gold Elite Saver Plus
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Silver Simple Diabetes
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Secure | with Atrium Health
via Methyltestosterone 		Tier 4 - Non-Preferred ✓ — — PA
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 19 hours, 52 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Bronze Standard+ Dental + Vision (No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Gold Standard (No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Bronze Standard (No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Silver Standard (No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via Methyltestosterone 		Tier 4 - Non-Preferred — — — None
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