Stendra

Generic: avanafil

100 MG, 200 MG, 50 MG — Tablet

PHOSPHODIESTERASE-5 INHIBITORS

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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  ·  Formulary date: Jan 1, 2026  ·  Checked: 8 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold
via avanafil 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options
via avanafil 		Tier 2 - Generic — — ✓ QL
Everyday Bronze
via avanafil 		Tier 2 - Generic — — ✓ QL
Elite Bronze
via avanafil 		Tier 2 - Generic — — ✓ QL
Clear Silver with $0 Insulin Options
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Silver
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Gold
via avanafil 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Silver with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Gold with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Complete Gold + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Everyday Bronze + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Elite Bronze + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Focused Silver with Atrium Health + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Complete Gold with Atrium Health + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Silver + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Gold + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Silver with Atrium Health + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Signature Gold with Atrium Health + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via avanafil 		Tier 2 - Generic — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options
via avanafil 		Tier 2 - Generic — — ✓ QL
Streamlined Silver with Atrium Health
via avanafil 		Tier 2 - Generic — — ✓ QL
Streamlined Silver
via avanafil 		Tier 2 - Generic — — ✓ QL
Source: Excel (XLSX)  ·  Formulary date: Sep 23, 2026  ·  Checked: 8 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via avanafil 		Tier 3 - Non-Formulary ✓ — — PA PA: 1270/48001/804395229 EBD: IMPOTENCE - ORAL, FEMALES PA REQUIRED
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA PA: 1270/48001/804395229 EBD: IMPOTENCE - ORAL, FEMALES PA REQUIRED
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