temozolomide

Generic: Temodar

5 mg, 20 mg, 100 mg, 140 mg, 180 mg, 250 mg — Capsule

ANTINEOPLASTICS

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,

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: 13 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Elite Bronze with Atrium Health + Vision + Adult Dental
via Temodar
Tier 5 - Specialty 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
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
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
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
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
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
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
Standard Gold with Atrium Health + Vision + Adult Dental
via Temodar
Tier 5 - Specialty QL
Complete Gold Tier 5 - Specialty PA | QL
Focused Silver with Atrium Health + Vision + Adult Dental
via Temodar
Tier 5 - Specialty QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 13 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 2 - Preferred Brand None
BCBS Federal Basic Option 2026 Tier 4 - Preferred Specialty None
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 13 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 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 Advantage 2026 Tier 2 - Medium Cost Generic/Brand PA
BCBSNC Blue Value 2026 Tier 2 - Medium Cost Generic/Brand PA
BCBSNC Blue Care 2026 Tier 2 - Medium Cost Generic/Brand PA
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 13 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard Tier 5 - Specialty None
Connect myDiabetesCare Silver Tier 5 - Specialty None
Connect Silver RD 2200 Indiv Med Deductible Tier 5 - Specialty None
Connect Gold 1500 Indiv Med Deductible Tier 5 - Specialty None
Connect myDiabetesCare Bronze Tier 5 - Specialty None
Connect Bronze 5500 Indiv Med Deductible Tier 5 - Specialty None
Connect Bronze RD 6000 Indiv Med Deductible Tier 5 - Specialty None
Connect Silver 3500 Indiv Med Deductible Tier 5 - Specialty None
Connect Bronze RD 5000 Indiv Med Deductible Tier 5 - Specialty None
Connect Silver RD 3500 Indiv Med Deductible Tier 5 - Specialty None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 5 - Specialty None
Connect Silver 4400 Indiv Med Deductible Tier 5 - Specialty None
Connect Silver RD 5000 Indiv Med Deductible Tier 5 - Specialty None
Connect Silver 3000 Indiv Med Deductible Tier 5 - Specialty None
Connect Bronze 6500 Indiv Med Deductible Tier 5 - Specialty None
Connect Silver CMS Standard Tier 5 - Specialty None
Connect Silver RD CMS Standard Tier 5 - Specialty None
Connect Gold CMS Standard Tier 5 - Specialty None
Connect Bronze RD CMS Standard Tier 5 - Specialty None
Connect Gold RD CMS Standard Tier 5 - Specialty None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 13 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Tier 4 - Specialty Generic PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 4 - Specialty Generic PA
NC State Health Plan - 80/20 Plus PPO 2026 Tier 4 - Specialty Generic PA
Source: CMS QHP JSON  ·  Checked: 13 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
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
Silver Classic Standard | 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 Classic Standard
via Temodar
Tier 5 - Specialty PA
Silver Classic Standard
via Temodar
Tier 5 - Specialty PA
Gold Classic Standard
via Temodar
Tier 5 - Specialty PA
Bronze Classic Standard | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Silver Classic Standard | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Gold Classic Standard | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Bronze Elite + PCP Saver Plus
via Temodar
Tier 5 - Specialty PA
Silver Classic
via Temodar
Tier 5 - Specialty PA
Secure
via Temodar
Tier 5 - Specialty PA
Bronze Classic 4700
via Temodar
Tier 5 - Specialty PA
Silver Simple PCP Saver
via Temodar
Tier 5 - Specialty PA
Gold Elite Saver Plus
via Temodar
Tier 5 - Specialty PA
Silver Simple Diabetes
via Temodar
Tier 5 - Specialty PA
Secure | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Bronze Classic 4700 | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Bronze Elite + PCP Saver Plus | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Silver Classic | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Silver Simple Diabetes | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Silver Simple PCP Saver | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Gold Elite Saver Plus | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Bronze Simple Chronic Care CKM | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Bronze Simple Diabetes | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Silver Simple Chronic Care CKM | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Temodar
Tier 5 - Specialty PA
AIAN Cost Share
via Temodar
Tier 5 - Specialty PA
AIAN Cost Share | with Atrium Health
via Temodar
Tier 5 - Specialty PA
Bronze Simple Diabetes | 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
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
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 13 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Gold Standard (No Referrals) Tier 5 - Specialty None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) Tier 5 - Specialty None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) Tier 5 - Specialty None
UHC Silver Standard (No Referrals) Tier 5 - Specialty None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals Tier 5 - Specialty None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 5 - Specialty None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 5 - Specialty None
UHC Bronze Standard+ Dental + Vision (No Referrals) Tier 5 - Specialty None
UHC Bronze Standard (No Referrals) Tier 5 - Specialty None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) Tier 5 - Specialty None
UHC Silver Value ($0 Virtual Urgent Care, No Referrals) Tier 5 - Specialty None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 5 - Specialty None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 5 - Specialty None
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