Posfrea Ψ

Generic: palonosetron

25MG/5ML — Vial

Also known as: POSFREA SOLN .25MG/5ML

Coverage by Insurer

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

Ambetter (Centene)

34 plans

Source: CMS QHP JSON · Formulary date: Jan 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Focused Silver with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver $0 Rx Options via palonosetron	Tier 2 - Generic	—	—	—	None
Everyday Bronze via palonosetron	Tier 2 - Generic	—	—	—	None
Elite Bronze via palonosetron	Tier 2 - Generic	—	—	—	None
Clear Silver with $0 Insulin Options via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Expanded Bronze via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Silver via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Gold via palonosetron	Tier 2 - Generic	—	—	—	None
Everyday Bronze with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Elite Bronze with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Complete Gold via palonosetron	Tier 2 - Generic	—	—	—	None
Complete Gold with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Expanded Bronze with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Silver with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Gold with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Complete Gold + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Everyday Bronze + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Elite Bronze + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Everyday Bronze with Atrium Health + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Elite Bronze with Atrium Health + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Focused Silver with Atrium Health + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Complete Gold with Atrium Health + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Expanded Bronze + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Silver + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Gold + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Silver with Atrium Health + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Signature Gold with Atrium Health + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Enhanced CHF Heart Care Silver $0 Rx Options via palonosetron	Tier 2 - Generic	—	—	—	None
Streamlined Silver with Atrium Health via palonosetron	Tier 2 - Generic	—	—	—	None
Streamlined Silver via palonosetron	Tier 2 - Generic	—	—	—	None
Clear Silver with $0 Insulin Options + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental via palonosetron	Tier 2 - Generic	—	—	—	None

Blue Cross Blue Shield Federal

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	✓	—	—	PA
BCBS Federal Basic Option 2026	Tier 3 - Non-Preferred Brand	✓	—	—	PA

NC Medicaid PDL

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None
NC Medicaid Preferred Drug List 2026 via palonosetron	Non-Preferred	—	—	—	None

NC State Health Plan

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 55 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
NC State Health Plan - HDHP 2026	Tier 3 - Non-Preferred Brand	—	—	—	None