Opzelura

Generic: ruxolitinib phosphate

Cream

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 12 hours, 36 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026	Tier 4 - Higher Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 4 - Higher Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Local 2026	Tier 4 - Higher Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Care 2026	Tier 4 - Higher Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Value 2026	Tier 4 - Higher Cost Brand	✓	—	✓ Restricted Access	PA \| QL

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 12 hours, 36 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	✓	—	—	PA

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 12 hours, 36 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via ruxolitinib phosphate	Tier 3 - Non-Formulary	✓	—	—	PA