trientine tetrahydrochloride

Generic: Cuvrior

300 mg — Tablet

Also known as: CUVRIOR

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

2 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 15 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Basic Option 2026 via Cuvrior	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Standard Option 2026 via Cuvrior	Tier 3 - Non-Preferred Brand	—	—	—	None

10 plans

Source: CMS QHP JSON · Formulary date: Sep 16, 2026 · Checked: 15 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
HealthSpring True Choice (PPO) 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 TotalCare (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 TotalCare Plus (HMO D-SNP) 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
Troy Medicare (HMO) via Cuvrior	Tier 5 - Specialty	✓	—	—	PA
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) via Cuvrior	Tier 5 - Specialty	✓	—	—	PA

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 15 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - HDHP 2026 via Cuvrior	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Cuvrior	Not Covered	—	—	—	None
NC State Health Plan - 80/20 Plus PPO 2026 via Cuvrior	Not Covered	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jul 31, 2026 · Checked: 15 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA