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,
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 |
|---|---|---|---|---|---|
|
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 |
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 Basic Option 2026 | Tier 4 - Preferred Specialty | — | — | — | None |
| BCBS Federal Standard 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 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 |
Cigna
20 plans| 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 |
NC State Health Plan
3 plans| 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 |
Oscar Health
56 plans| 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 |
UnitedHealthcare
13 plans| 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 |