suzetrigine

Generic: Journavx

50 mg — Tablet

Also known as: JOURNAVX

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

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026 via Journavx	Tier 2 - Preferred Brand	—	—	✓	QL
BCBS Federal Standard Option 2026 via Journavx	Tier 3 - Non-Preferred Brand	—	—	✓	QL
BCBS Federal Basic Option 2026 via Journavx	Tier 3 - Non-Preferred Brand	—	—	✓	QL

8 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 4 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Provider Partners North Carolina Essential Plan (HMO I-SNP) via Journavx	Tier 1 - Preferred Generic	—	—	✓ 30 per 90 days	QL
Longevity Health Plan (HMO I-SNP) via Journavx	Tier 1 - Preferred Generic	—	—	✓ 30 per 90 days	QL
Provider Partners North Carolina Advantage Plan (HMO I-SNP) via Journavx	Tier 1 - Preferred Generic	—	—	✓ 30 per 90 days	QL
Provider Partners North Carolina Community Plan (HMO I-SNP) via Journavx	Tier 1 - Preferred Generic	—	—	✓ 30 per 90 days	QL
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) via Journavx	Tier 4 - Non-Preferred	—	—	✓ 30 per 90 days	QL
HealthTeam Advantage Plan I (PPO) via Journavx	Tier 4 - Non-Preferred	—	—	✓ 30 per 90 days	QL
HealthTeam Advantage Plan II (PPO) via Journavx	Tier 4 - Non-Preferred	—	—	✓ 30 per 90 days	QL
HealthTeam Advantage Vitality Plan (PPO) via Journavx	Tier 4 - Non-Preferred	—	—	✓ 30 per 90 days	QL

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Journavx	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Journavx	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Journavx	Not Covered	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 4 hours, 31 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	—	—	✓	QL