trientine tetrahydrochloride
Generic: Cuvrior
300 mg — Tablet
BINDERS-CHELATORS-ANTIDOTES-OVERDOSE AGENTS
Also known as:
CUVRIOR
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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 Federal
2 plansMedicare Part D
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
HealthSpring TotalCare (HMO D-SNP)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | ✓ 300 per 30 days | PA | QL |
|
HealthSpring TotalCare Plus (HMO D-SNP)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | ✓ 300 per 30 days | PA | QL |
|
HealthSpring Preferred (HMO)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | ✓ 300 per 30 days | PA | QL |
|
HealthSpring Preferred Select (HMO)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | ✓ 300 per 30 days | PA | QL |
|
HealthSpring Preferred Savings (HMO)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | ✓ 300 per 30 days | PA | QL |
|
HealthSpring Preferred Plus (HMO)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | ✓ 300 per 30 days | PA | QL |
|
AmeriHealth Caritas VIP Care (HMO D-SNP)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | — | PA |
|
HealthSpring True Choice (PPO)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | ✓ 300 per 30 days | PA | QL |
|
Troy Medicare (HMO)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | — | PA |
|
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via Cuvrior |
Tier 5 - Specialty | ✓ | — | — | PA |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - HDHP 2026
via Cuvrior |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Cuvrior |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Cuvrior |
Not Covered | — | — | — | None |