Sivextro
Generic: tedizolid phosphate
200 MG — Tablet
Also known as:
Sivextro Oral
tedizolid phosphate
SIVEXTRO TABS 200MG
Compare Prices
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Blue Cross Blue Shield Federal
2 plansMedicare Part D
39 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Aetna Medicare Dual (HMO D-SNP) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Value Plus (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Prime (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature Care (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Full Dual Care (HMO D-SNP) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Enhanced (HMO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Enhanced (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature Extra (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature Giveback (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Signature (PPO) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Chronic Care (HMO C-SNP) | Tier 5 - Specialty | — | — | — | None |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Tier 5 - Specialty | — | — | — | None |
| HealthSpring True Choice (PPO) | Tier 5 - Specialty | — | — | ✓ 6 per 28 days | QL |
| HealthSpring TotalCare (HMO D-SNP) | Tier 5 - Specialty | — | — | ✓ 6 per 28 days | QL |
| HealthSpring TotalCare Plus (HMO D-SNP) | Tier 5 - Specialty | — | — | ✓ 6 per 28 days | QL |
| HealthSpring Preferred (HMO) | Tier 5 - Specialty | — | — | ✓ 6 per 28 days | QL |
| HealthSpring Preferred Select (HMO) | Tier 5 - Specialty | — | — | ✓ 6 per 28 days | QL |
| HealthSpring Preferred Savings (HMO) | Tier 5 - Specialty | — | — | ✓ 6 per 28 days | QL |
| HealthSpring Preferred Plus (HMO) | Tier 5 - Specialty | — | — | ✓ 6 per 28 days | QL |
| Blue Medicare PPO Enhanced (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Blue Medicare Essential Plus (HMO-POS) | Tier 5 - Specialty | ✓ | — | — | PA |
| Blue Medicare Enhanced (HMO-POS) | Tier 5 - Specialty | ✓ | — | — | PA |
| Blue Medicare Choice (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Blue Medicare Essential (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Experience Health Medicare Advantage (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Healthy Blue + Medicare (HMO-POS D-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 |
| Alignment Health AVA (PPO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Aetna Medicare Signature (HMO) | Tier 5 - Specialty | — | — | — | None |