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, temozolomide caps 250mg

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: 21 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold Tier 5 - Specialty ✓ — ✓ PA | QL
Enhanced Asthma/COPD Care Silver $0 Rx 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
Signature Expanded Bronze Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Silver Tier 5 - Specialty ✓ — ✓ PA | QL
Signature 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
Signature Expanded Bronze with Atrium Health Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Silver with Atrium Health Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Gold with Atrium Health Tier 5 - Specialty ✓ — ✓ PA | QL
Enhanced Asthma/COPD Care Silver $0 Rx 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
Signature Expanded Bronze + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Silver + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Gold + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Silver with Atrium Health + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Signature Gold with Atrium Health + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Enhanced CHF Heart Care Silver $0 Rx Options Tier 5 - Specialty ✓ — ✓ PA | QL
Streamlined Silver with Atrium Health Tier 5 - Specialty ✓ — ✓ PA | QL
Streamlined Silver Tier 5 - Specialty ✓ — ✓ PA | QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental Tier 5 - Specialty ✓ — ✓ PA | QL
Complete Gold
via Temodar
Tier 5 - Specialty — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx 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
Signature Expanded Bronze
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Silver
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature 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
Signature Expanded Bronze with Atrium Health
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Silver with Atrium Health
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Gold with Atrium Health
via Temodar
Tier 5 - Specialty — — ✓ QL
Enhanced Asthma/COPD Care Silver $0 Rx 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
Signature Expanded Bronze + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Silver + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Gold + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Silver with Atrium Health + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Signature Gold with Atrium Health + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options
via Temodar
Tier 5 - Specialty — — ✓ QL
Streamlined Silver with Atrium Health
via Temodar
Tier 5 - Specialty — — ✓ QL
Streamlined Silver
via Temodar
Tier 5 - Specialty — — ✓ QL
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Temodar
Tier 5 - Specialty — — ✓ QL
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 21 hours, 4 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 ✓ — — PA
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 21 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Care 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 Home with UNC Health Alliance 2026 Tier 2 - Medium Cost Generic/Brand ✓ — — PA
BCBSNC Blue Local 2026 Tier 2 - Medium Cost Generic/Brand ✓ — — PA
Source: PDF  ·  Formulary date: Oct 7, 2026  ·  Checked: 21 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Gold RD CMS Standard Tier 5 - Specialty — — — None
Connect Silver RD 2200 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver RD CMS Standard Tier 5 - Specialty — — — None
Connect Silver RD 5000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver RD 3500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze RD CMS Standard Tier 5 - Specialty — — — None
Connect Bronze RD 5000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze RD 6000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 5 - Specialty — — — None
Connect myDiabetesCare Bronze Tier 5 - Specialty — — — None
Connect myDiabetesCare Silver Tier 5 - Specialty — — — None
Connect Gold 1500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze 6500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze 5500 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver 5000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver 3600 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Silver 3000 Indiv Med Deductible Tier 5 - Specialty — — — None
Connect Bronze CMS Standard Tier 5 - Specialty — — — None
Connect Silver CMS Standard Tier 5 - Specialty — — — None
Connect Gold CMS Standard Tier 5 - Specialty — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 21 hours, 4 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: 21 hours, 4 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
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 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
Bronze Classic Standard
via Temodar
Tier 5 - Specialty ✓ — — PA
Silver 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 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
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
Gold Classic Standard
via Temodar
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
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 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
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 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 Temodar
Tier 5 - Specialty ✓ — — PA
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Temodar
Tier 5 - Specialty ✓ — — PA
Source: PDF  ·  Formulary date: Sep 23, 2026  ·  Checked: 21 hours, 3 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 5 - Specialty — — — None
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 5 - Specialty — — — None
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) Tier 5 - Specialty — — — None
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, 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+ (HSA, $0 Insulin, Dental + Vision, No Referrals) Tier 5 - Specialty — — — None
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) Tier 5 - Specialty — — — None
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Bronze Standard (HSA, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) Tier 5 - Specialty — — — None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 5 - Specialty — — — None
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