temozolomide
Generic: Temodar
5 mg, 20 mg, 100 mg, 140 mg, 180 mg, 250 mg — Capsule
Also known as:
temozolomide caps 5mg, 20mg, 100mg, 140mg, 180mg, 250mg
temozolomide cap 5 mg, 20 mg, 100 mg, 140 mg, 180 mg, 250 mg
Temozolomide 5 Mg Capsule
Temozolomide 20 Mg Capsule
Temozolomide 100 Mg Capsule
Temozolomide 140 Mg Capsule
Temozolomide 180 Mg Capsule
Temozolomide 250 Mg Capsule
temozolomide caps 5mg, 20mg, 100mg,
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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.
Ambetter (Centene)
58 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Standard Gold with Atrium Health + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Complete Gold + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Everyday Bronze + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Elite Bronze + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Expanded Bronze + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Silver + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Gold + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
| Complete Gold with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Complete Gold | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Clear Silver with $0 Insulin Options | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Focused Silver with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Complete Gold + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Silver with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Standard Gold with Atrium Health + Vision + Adult Dental | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Everyday Bronze
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Elite Bronze
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Expanded Bronze
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Silver
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Gold
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Focused Silver with Atrium Health
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Complete Gold with Atrium Health
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Expanded Bronze with Atrium Health
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Silver with Atrium Health
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
|
Standard Gold with Atrium Health
via Temodar |
Tier 5 - Specialty | — | — | ✓ | QL |
Blue Cross Blue Shield Federal
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBS Federal Focus 2026 | Tier 2 - Preferred Brand | — | — | — | None |
| BCBS Federal Standard Option 2026 | Tier 4 - Preferred Specialty | — | — | — | None |
| BCBS Federal Basic Option 2026 | Tier 4 - Preferred Specialty | — | — | — | None |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBSNC Blue Care 2026 | Tier 2 - Medium Cost Generic/Brand | ✓ | — | — | PA |
| BCBSNC Blue Value 2026 | Tier 2 - Medium Cost Generic/Brand | ✓ | — | — | PA |
| BCBSNC Blue Advantage 2026 | Tier 2 - Medium Cost Generic/Brand | ✓ | — | — | PA |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier 2 - Medium Cost Generic/Brand | ✓ | — | — | PA |
| BCBSNC Blue Local 2026 | Tier 2 - Medium Cost Generic/Brand | ✓ | — | — | PA |
Cigna
1 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 4 - Specialty Generic | ✓ | — | — | PA |
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 4 - Specialty Generic | ✓ | — | — | PA |
| NC State Health Plan - HDHP 2026 | Tier 4 - Specialty Generic | ✓ | — | — | PA |