Methyltestosterone

Generic: Methitest

10 Mg — Capsule

Androgens

Also known as: methyltestosterone oral methyltestosterone caps 10mg Methyltestosterone 10 Mg Capsule

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: 1 hour, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Standard Gold + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Standard Expanded Bronze + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Complete Gold with Atrium Health + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Complete Gold
via Methitest
Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Methitest
Tier 2 - Generic None
Everyday Bronze
via Methitest
Tier 2 - Generic None
Elite Bronze
via Methitest
Tier 2 - Generic None
Clear Silver with $0 Insulin Options
via Methitest
Tier 2 - Generic None
Standard Expanded Bronze
via Methitest
Tier 2 - Generic None
Standard Silver
via Methitest
Tier 2 - Generic None
Standard Gold
via Methitest
Tier 2 - Generic None
Everyday Bronze with Atrium Health
via Methitest
Tier 2 - Generic None
Elite Bronze with Atrium Health
via Methitest
Tier 2 - Generic None
Focused Silver with Atrium Health
via Methitest
Tier 2 - Generic None
Complete Gold with Atrium Health
via Methitest
Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health
via Methitest
Tier 2 - Generic None
Standard Silver with Atrium Health
via Methitest
Tier 2 - Generic None
Standard Gold with Atrium Health
via Methitest
Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Complete Gold + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Everyday Bronze + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Elite Bronze + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Elite Bronze with Atrium Health + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Focused Silver with Atrium Health + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Standard Silver + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Standard Gold with Atrium Health + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Standard Silver with Atrium Health + Vision + Adult Dental
via Methitest
Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 1 hour, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026
via Methitest
Tier 4 - Specialty None
Cigna Plus NC 4-Tier Formulary 2026 Tier 4 - Specialty None
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 1 hour, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Alignment Health AVA (PPO) Tier 5 - Specialty PA
Aetna Medicare Signature (HMO) Tier 5 - Specialty PA
Aetna Medicare Dual (HMO D-SNP) Tier 5 - Specialty PA
Aetna Medicare Signature (HMO) Tier 5 - Specialty PA
Aetna Medicare Value Plus (HMO) Tier 5 - Specialty PA
Aetna Medicare Prime (HMO) Tier 5 - Specialty PA
Aetna Medicare Signature Care (HMO) Tier 5 - Specialty PA
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 5 - Specialty PA
Aetna Medicare Enhanced (HMO) Tier 5 - Specialty PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty PA
Aetna Medicare Enhanced (PPO) Tier 5 - Specialty PA
Aetna Medicare Enhanced (PPO) Tier 5 - Specialty PA
Aetna Medicare Signature Extra (PPO) Tier 5 - Specialty PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty PA
Aetna Medicare Signature Giveback (PPO) Tier 5 - Specialty PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty PA
Aetna Medicare Chronic Care (HMO C-SNP) Tier 5 - Specialty PA
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 5 - Specialty PA
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
Troy Medicare (HMO) Tier 5 - Specialty PA
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 5 - Specialty PA
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 5 - Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via Methitest
Tier 1 - Preferred Generic PA
NC State Health Plan - 70/30 Standard PPO 2026
via Methitest
Tier 1 - Preferred Generic PA
NC State Health Plan - HDHP 2026
via Methitest
Tier 1 - Preferred Generic PA
NC State Health Plan - 80/20 Plus PPO 2026 Tier 2 - Non-Preferred Generic PA
NC State Health Plan - HDHP 2026 Tier 2 - Non-Preferred Generic PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 2 - Non-Preferred Generic PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 1 hour, 25 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UnitedHealthcare NC Individual & Family 2026 Tier 4 - Higher Cost None
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