testosterone td
Gel
Also known as:
testosterone td gel 25 mg/2.5gm (1%), 12.5 mg/act
testosterone td gel 50 mg/5gm (1%)
testosterone td gel 20.25 mg/act (1.62%)
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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.
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Advantage 2026
via Androgel Pump |
Tier 2 - Medium Cost Generic/Brand | ✓ | — | ✓ | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Androgel Pump |
Tier 2 - Medium Cost Generic/Brand | ✓ | — | ✓ | PA | QL |
|
BCBSNC Blue Local 2026
via Androgel Pump |
Tier 2 - Medium Cost Generic/Brand | ✓ | — | ✓ | PA | QL |
|
BCBSNC Blue Care 2026
via Androgel Pump |
Tier 2 - Medium Cost Generic/Brand | ✓ | — | ✓ | PA | QL |
|
BCBSNC Blue Value 2026
via Androgel Pump |
Tier 2 - Medium Cost Generic/Brand | ✓ | — | ✓ | PA | QL |
NC Medicaid PDL
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
via Androgel Pump |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Androgel Pump |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Androgel Pump |
Not Covered | — | — | — | None |