nerandomilast

18 mg, 9 mg — Tablet

PULMONARY-1 AGENTS

Also known as: JASCAYD
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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  ·  Checked: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Silver Essential + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Gold Signature + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Silver Premier + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Silver Signature + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
AmeriHealth Caritas Next Gold Premier + No Referrals
via Jascayd 		Tier 5 - Specialty ✓ — ✓ PA | QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026
via Jascayd 		Tier 5 - Specialty ✓ — ✓ Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Care 2026
via Jascayd 		Tier 5 - Specialty ✓ — ✓ Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Value 2026
via Jascayd 		Tier 5 - Specialty ✓ — ✓ Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Advantage 2026
via Jascayd 		Tier 5 - Specialty ✓ — ✓ Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Jascayd 		Tier 5 - Specialty ✓ — ✓ Restricted Access; Limited Distribution PA | QL
Source: CMS QHP JSON  ·  Formulary date: Jun 10, 2026  ·  Checked: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
HealthSpring TotalCare Plus (HMO D-SNP)
via Jascayd 		Tier 5 - Specialty ✓ — ✓ 60 per 30 days PA | QL
HealthSpring Preferred (HMO)
via Jascayd 		Tier 5 - Specialty ✓ — ✓ 60 per 30 days PA | QL
HealthSpring Preferred Select (HMO)
via Jascayd 		Tier 5 - Specialty ✓ — ✓ 60 per 30 days PA | QL
HealthSpring Preferred Savings (HMO)
via Jascayd 		Tier 5 - Specialty ✓ — ✓ 60 per 30 days PA | QL
HealthSpring Preferred Plus (HMO)
via Jascayd 		Tier 5 - Specialty ✓ — ✓ 60 per 30 days PA | QL
HealthSpring TotalCare (HMO D-SNP)
via Jascayd 		Tier 5 - Specialty ✓ — ✓ 60 per 30 days PA | QL
HealthSpring True Choice (PPO)
via Jascayd 		Tier 5 - Specialty ✓ — ✓ 60 per 30 days PA | QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via Jascayd 		Not Covered — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Jascayd 		Not Covered — — — None
NC State Health Plan - HDHP 2026
via Jascayd 		Not Covered — — — None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — ✓ PA | QL
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