Methoxsalen

Generic: methoxsalen rapid

10 Mg — Capsule

DERMATOLOGICALS

Also known as: Methoxsalen 10 Mg Softgel
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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: 17 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Everyday Bronze
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Elite Bronze
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Clear Silver with $0 Insulin Options
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Expanded Bronze
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Silver
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Gold
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Everyday Bronze with Atrium Health
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Elite Bronze with Atrium Health
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Focused Silver with Atrium Health
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Complete Gold with Atrium Health
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Expanded Bronze with Atrium Health
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Silver with Atrium Health
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Gold with Atrium Health
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Complete Gold + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Everyday Bronze + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Elite Bronze + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Elite Bronze with Atrium Health + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Focused Silver with Atrium Health + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Complete Gold with Atrium Health + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Expanded Bronze + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Silver + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Gold + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Silver with Atrium Health + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Standard Gold with Atrium Health + Vision + Adult Dental
via Uvadex 		Tier 5 - Specialty ✓ — — PA
Source: CMS QHP JSON  ·  Checked: 17 hours, 36 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Premier + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Bronze Premier + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Gold Premier + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Bronze Essential + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Gold Signature + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Essential + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Bronze Signature + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
AmeriHealth Caritas Next Silver Signature + No Referrals
via methoxsalen rapid 		Tier 5 - Specialty — — ✓ QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 17 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026
via methoxsalen rapid 		Tier 1 - Generic — — — None
BCBS Federal Standard Option 2026
via methoxsalen rapid 		Tier 1 - Generic — — — None
BCBS Federal Focus 2026
via methoxsalen rapid 		Tier 1 - Generic — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 17 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Local 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Advantage 2026 Tier 4 - Higher Cost Brand — — — None
BCBSNC Blue Value 2026 Tier 4 - Higher Cost Brand — — — None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 17 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze RD 6000 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Silver 3500 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Bronze CMS Standard Tier 4 - Non-Preferred — — — None
Connect Gold RD CMS Standard Tier 4 - Non-Preferred — — — None
Connect Bronze RD CMS Standard Tier 4 - Non-Preferred — — — None
Connect Gold CMS Standard Tier 4 - Non-Preferred — — — None
Connect Silver RD CMS Standard Tier 4 - Non-Preferred — — — None
Connect Silver CMS Standard Tier 4 - Non-Preferred — — — None
Connect Bronze 6500 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Silver 3000 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Silver RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Silver 4400 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Silver RD 3500 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Bronze RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect myDiabetesCare Silver Tier 4 - Non-Preferred — — — None
Connect Silver RD 2200 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect Gold 1500 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Connect myDiabetesCare Bronze Tier 4 - Non-Preferred — — — None
Connect Bronze 5500 Indiv Med Deductible Tier 4 - Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 17 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via methoxsalen rapid 		Non-Preferred — — — None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 17 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via methoxsalen rapid 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via methoxsalen rapid 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - HDHP 2026
via methoxsalen rapid 		Tier 1 - Preferred Generic — — — None
NC State Health Plan - HDHP 2026
via Uvadex 		Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - 80/20 Plus PPO 2026
via Uvadex 		Tier 3 - Non-Preferred Brand — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Uvadex 		Tier 3 - Non-Preferred Brand — — — None
Source: CMS QHP JSON  ·  Checked: 17 hours, 35 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Bronze Simple Diabetes | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Simple Chronic Care CKM | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Gold Elite Saver Plus | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Simple PCP Saver | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Simple Diabetes | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Classic | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Elite + PCP Saver Plus | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Classic 4700 | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Secure | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Simple Diabetes
via Uvadex 		Tier 3 - Preferred Brand — — — None
Gold Elite Saver Plus
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Simple PCP Saver
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Classic 4700
via Uvadex 		Tier 3 - Preferred Brand — — — None
Secure
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Classic
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Elite + PCP Saver Plus
via Uvadex 		Tier 3 - Preferred Brand — — — None
Gold Classic Standard | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Classic Standard | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Classic Standard | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Bronze Classic Standard
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Classic Standard
via Uvadex 		Tier 3 - Preferred Brand — — — None
Gold Classic Standard
via Uvadex 		Tier 3 - Preferred Brand — — — None
AIAN Cost Share | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
AIAN Cost Share
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Simple Chronic Care CKM | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Uvadex 		Tier 3 - Preferred Brand — — — None
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