Temodar

Generic: temozolomide

100 MG

Alkylating Drug

Also known as: temozolomide

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: 11 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 5 - Specialty QL
Standard Silver + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Standard Gold + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Standard Silver with Atrium Health + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Standard Gold with Atrium Health + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via temozolomide
Tier 5 - Specialty PA | QL
Everyday Bronze
via temozolomide
Tier 5 - Specialty PA | QL
Elite Bronze
via temozolomide
Tier 5 - Specialty PA | QL
Clear Silver with $0 Insulin Options
via temozolomide
Tier 5 - Specialty PA | QL
Standard Expanded Bronze
via temozolomide
Tier 5 - Specialty PA | QL
Standard Silver
via temozolomide
Tier 5 - Specialty PA | QL
Standard Gold
via temozolomide
Tier 5 - Specialty PA | QL
Everyday Bronze with Atrium Health
via temozolomide
Tier 5 - Specialty PA | QL
Elite Bronze with Atrium Health
via temozolomide
Tier 5 - Specialty PA | QL
Focused Silver with Atrium Health
via temozolomide
Tier 5 - Specialty PA | QL
Complete Gold with Atrium Health
via temozolomide
Tier 5 - Specialty PA | QL
Standard Expanded Bronze with Atrium Health
via temozolomide
Tier 5 - Specialty PA | QL
Standard Silver with Atrium Health
via temozolomide
Tier 5 - Specialty PA | QL
Standard Gold with Atrium Health
via temozolomide
Tier 5 - Specialty PA | QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Complete Gold + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Everyday Bronze + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Elite Bronze + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Everyday Bronze with Atrium Health + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Elite Bronze with Atrium Health + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Focused Silver with Atrium Health + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Complete Gold with Atrium Health + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Standard Expanded Bronze + Vision + Adult Dental
via temozolomide
Tier 5 - Specialty PA | QL
Complete Gold Tier 5 - Specialty QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 5 - Specialty QL
Everyday Bronze Tier 5 - Specialty QL
Elite Bronze Tier 5 - Specialty QL
Clear Silver with $0 Insulin Options Tier 5 - Specialty QL
Standard Expanded Bronze Tier 5 - Specialty QL
Standard Silver Tier 5 - Specialty QL
Standard Gold Tier 5 - Specialty QL
Everyday Bronze with Atrium Health Tier 5 - Specialty QL
Elite Bronze with Atrium Health Tier 5 - Specialty QL
Focused Silver with Atrium Health Tier 5 - Specialty QL
Complete Gold with Atrium Health Tier 5 - Specialty QL
Standard Expanded Bronze with Atrium Health Tier 5 - Specialty QL
Standard Silver with Atrium Health Tier 5 - Specialty QL
Standard Gold with Atrium Health Tier 5 - Specialty QL
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 5 - Specialty QL
Complete Gold + Vision + Adult Dental Tier 5 - Specialty QL
Everyday Bronze + Vision + Adult Dental Tier 5 - Specialty QL
Elite Bronze + Vision + Adult Dental Tier 5 - Specialty QL
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 5 - Specialty QL
Complete Gold with Atrium Health + Vision + Adult Dental Tier 5 - Specialty QL
Standard Expanded Bronze + Vision + Adult Dental Tier 5 - Specialty QL
Standard Silver + Vision + Adult Dental Tier 5 - Specialty QL
Standard Gold + Vision + Adult Dental Tier 5 - Specialty QL
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 5 - Specialty QL
Standard Silver with Atrium Health + Vision + Adult Dental Tier 5 - Specialty QL
Standard Gold with Atrium Health + Vision + Adult Dental Tier 5 - Specialty QL
Complete Gold
via temozolomide
Tier 5 - Specialty PA | QL
Focused Silver with Atrium Health + Vision + Adult Dental Tier 5 - Specialty QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026
via temozolomide
Tier 2 - Preferred Brand None
BCBS Federal Basic Option 2026
via temozolomide
Tier 4 - Preferred Specialty None
BCBS Federal Standard Option 2026
via temozolomide
Tier 4 - Preferred Specialty None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026
via temozolomide
Tier 2 - Medium Cost Generic/Brand PA
BCBSNC Blue Home with UNC Health Alliance 2026
via temozolomide
Tier 2 - Medium Cost Generic/Brand PA
BCBSNC Blue Advantage 2026
via temozolomide
Tier 2 - Medium Cost Generic/Brand PA
BCBSNC Blue Value 2026
via temozolomide
Tier 2 - Medium Cost Generic/Brand PA
BCBSNC Blue Care 2026
via temozolomide
Tier 2 - Medium Cost Generic/Brand PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 11 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard
via temozolomide
Tier 5 - Specialty None
Connect myDiabetesCare Silver
via temozolomide
Tier 5 - Specialty None
Connect Silver RD 2200 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Gold 1500 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect myDiabetesCare Bronze
via temozolomide
Tier 5 - Specialty None
Connect Bronze 5500 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Bronze RD 6000 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Silver 3500 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Bronze RD 5000 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Silver RD 3500 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Bronze 7000 HSA Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Silver 4400 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Silver RD 5000 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Silver 3000 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Bronze 6500 Indiv Med Deductible
via temozolomide
Tier 5 - Specialty None
Connect Silver CMS Standard
via temozolomide
Tier 5 - Specialty None
Connect Silver RD CMS Standard
via temozolomide
Tier 5 - Specialty None
Connect Gold CMS Standard
via temozolomide
Tier 5 - Specialty None
Connect Bronze RD CMS Standard
via temozolomide
Tier 5 - Specialty None
Connect Gold RD CMS Standard
via temozolomide
Tier 5 - Specialty None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 11 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026
via temozolomide
Tier 4 - Specialty Generic PA
NC State Health Plan - 70/30 Standard PPO 2026
via temozolomide
Tier 4 - Specialty Generic PA
NC State Health Plan - 80/20 Plus PPO 2026
via temozolomide
Tier 4 - Specialty Generic PA
Source: CMS QHP JSON  ·  Checked: 11 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Silver Classic
via temozolomide
Tier 5 - Specialty PA
Secure
via temozolomide
Tier 5 - Specialty PA
Bronze Classic 4700
via temozolomide
Tier 5 - Specialty PA
Silver Simple PCP Saver
via temozolomide
Tier 5 - Specialty PA
Gold Elite Saver Plus
via temozolomide
Tier 5 - Specialty PA
Silver Simple Diabetes
via temozolomide
Tier 5 - Specialty PA
Secure | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Bronze Classic 4700 | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Bronze Elite + PCP Saver Plus | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Silver Classic | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Silver Simple Diabetes | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Silver Simple PCP Saver | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Gold Elite Saver Plus | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Bronze Simple Chronic Care CKM | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Silver Classic Standard | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Silver Simple Chronic Care CKM | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
AIAN Cost Share
via temozolomide
Tier 5 - Specialty PA
AIAN Cost Share | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Bronze Classic Standard Tier 5 - Specialty PA
Silver Classic Standard Tier 5 - Specialty PA
Gold Classic Standard Tier 5 - Specialty PA
Bronze Classic Standard | with Atrium Health Tier 5 - Specialty PA
Silver Classic Standard | with Atrium Health Tier 5 - Specialty PA
Gold Classic Standard | with Atrium Health Tier 5 - Specialty PA
Bronze Elite + PCP Saver Plus Tier 5 - Specialty PA
Silver Classic Tier 5 - Specialty PA
Secure Tier 5 - Specialty PA
Bronze Classic 4700 Tier 5 - Specialty PA
Silver Simple PCP Saver Tier 5 - Specialty PA
Gold Elite Saver Plus Tier 5 - Specialty PA
Silver Simple Diabetes Tier 5 - Specialty PA
Secure | with Atrium Health Tier 5 - Specialty PA
Bronze Classic 4700 | with Atrium Health Tier 5 - Specialty PA
Bronze Elite + PCP Saver Plus | with Atrium Health Tier 5 - Specialty PA
Silver Classic | with Atrium Health Tier 5 - Specialty PA
Silver Simple Diabetes | with Atrium Health Tier 5 - Specialty PA
Silver Simple PCP Saver | with Atrium Health Tier 5 - Specialty PA
Gold Elite Saver Plus | with Atrium Health Tier 5 - Specialty PA
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 5 - Specialty PA
Bronze Simple Chronic Care CKM | with Atrium Health Tier 5 - Specialty PA
Bronze Simple Diabetes | with Atrium Health Tier 5 - Specialty PA
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health Tier 5 - Specialty PA
Silver Simple Chronic Care CKM | with Atrium Health Tier 5 - Specialty PA
Silver Simple Women's Health with Menopause Benefits | with Atrium Health Tier 5 - Specialty PA
AIAN Cost Share Tier 5 - Specialty PA
AIAN Cost Share | with Atrium Health Tier 5 - Specialty PA
Bronze Simple Diabetes | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Gold Classic Standard | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Bronze Elite + PCP Saver Plus
via temozolomide
Tier 5 - Specialty PA
Bronze Classic Standard
via temozolomide
Tier 5 - Specialty PA
Silver Classic Standard
via temozolomide
Tier 5 - Specialty PA
Gold Classic Standard
via temozolomide
Tier 5 - Specialty PA
Bronze Classic Standard | with Atrium Health
via temozolomide
Tier 5 - Specialty PA
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 11 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Gold Standard (No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Silver Standard (No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
via temozolomide
Tier 5 - Specialty None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Bronze Standard+ Dental + Vision (No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Bronze Standard (No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via temozolomide
Tier 5 - Specialty None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
via temozolomide
Tier 5 - Specialty None
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