Vemlidy

Generic: tenofovir alafenamide

25 Mg — Tablet

ANTIVIRALS

Also known as: tenofovir alafenamide VEMLIDY TABS 25MG Vemlidy 25 Mg Tablet

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 49 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 None
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 5 - Specialty None
BCBSNC Blue Local 2026 Tier 5 - Specialty None
BCBSNC Blue Value 2026 Tier 5 - Specialty None
BCBSNC Blue Advantage 2026 Tier 5 - Specialty None
BCBSNC Blue Care 2026 Tier 5 - Specialty None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 23 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Cigna Plus NC 4-Tier Formulary 2026 Tier 4 - Specialty Specialty Pharmacy Required PA
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 23 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic None
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0022 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0007 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
UHC Dual Complete NC-D001 (HMO-POS D-SNP) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0008 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0009 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0011 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0012 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
UHC Dual Complete NC-V001 (HMO-POS D-SNP) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
UHC Dual Complete NC-S3 (HMO-POS D-SNP) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-24 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-26 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Erickson Advantage Signature (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Erickson Advantage Guardian (HMO-POS I-SNP) Tier 5 - Specialty 30 per 30 days QL
Erickson Advantage Freedom (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Erickson Advantage Liberty (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
UHC Complete Care NC-25 (HMO-POS C-SNP) Tier 5 - Specialty 30 per 30 days QL
UHC Complete Care NC-27 (HMO-POS C-SNP) Tier 5 - Specialty 30 per 30 days QL
UHC Complete Care NC-28 (HMO-POS C-SNP) Tier 5 - Specialty 30 per 30 days QL
Erickson Advantage Champion (HMO-POS C-SNP) Tier 5 - Specialty 30 per 30 days QL
HealthSpring True Choice (PPO) Tier 5 - Specialty None
HealthSpring TotalCare (HMO D-SNP) Tier 5 - Specialty None
HealthSpring TotalCare Plus (HMO D-SNP) Tier 5 - Specialty None
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Tier 5 - Specialty 30 per 30 days QL
UHC Nursing Home Plan NC-F001 (PPO I-SNP) Tier 5 - Specialty 30 per 30 days QL
UHC Dual Complete NC-S001 (PPO D-SNP) Tier 5 - Specialty 30 per 30 days QL
UHC Dual Complete NC-S2 (PPO D-SNP) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage Access from UHC NC-23 (PPO) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0001 (PPO) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0004 (PPO) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0016 (PPO) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0017 (PPO) Tier 5 - Specialty 30 per 30 days QL
AARP Medicare Advantage from UHC NC-0019 (PPO) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus H6622-057 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus H6622-060 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus H6622-061 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Choice H8145-004 (PFFS) Tier 5 - Specialty 30 per 30 days QL
HealthSpring Preferred (HMO) Tier 5 - Specialty None
HealthSpring Preferred Select (HMO) Tier 5 - Specialty None
HealthSpring Preferred Savings (HMO) Tier 5 - Specialty None
HealthSpring Preferred Plus (HMO) Tier 5 - Specialty None
Wellcare Simple Open (PPO) Tier 5 - Specialty None
Wellcare Simple (HMO-POS) Tier 5 - Specialty None
Wellcare Giveback Open (PPO) Tier 5 - Specialty None
Alignment Health Platinum (HMO) Tier 5 - Specialty 30 per 30 days PA | QL
Alignment Health NC Duals (HMO-POS D-SNP) Tier 5 - Specialty 30 per 30 days PA | QL
Alignment Health smartHMO (HMO) Tier 5 - Specialty 30 per 30 days PA | QL
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 5 - Specialty 30 per 30 days PA | QL
Alignment Health Platinum Select (HMO) Tier 5 - Specialty 30 per 30 days PA | QL
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 5 - Specialty 30 per 30 days PA | QL
Alignment Health AVA (PPO) Tier 5 - Specialty 30 per 30 days PA | QL
Troy Medicare (HMO) Tier 5 - Specialty 30 per 30 days PA | QL
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 5 - Specialty 30 per 30 days PA | QL
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 5 - Specialty 30 per 30 days PA | QL
Wellcare Dual Liberty Open (PPO D-SNP) Tier 5 - Specialty None
Wellcare Assist Open (PPO) Tier 5 - Specialty None
Wellcare Dual Access (HMO-POS D-SNP) Tier 5 - Specialty None
Wellcare Dual Liberty (HMO-POS D-SNP) Tier 5 - Specialty None
Wellcare Dual Reserve (HMO-POS D-SNP) Tier 5 - Specialty None
Humana Gold Plus H1036-137 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus H1036-233 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Dual Select H1036-307 (HMO D-SNP) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus Giveback H1036-318 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus H1036-335 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice Giveback H5216-017 (PPO) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice H5216-211 (PPO) Tier 5 - Specialty 30 per 30 days QL
Humana Full Access H5525-034 (PPO) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice Giveback H5525-035 (PPO) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice SNP-DE H5525-036 (PPO D-SNP) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice H5525-049 (PPO) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice H5525-050 (PPO) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice H5525-070 (PPO) Tier 5 - Specialty 30 per 30 days QL
Humana Dual Select H5525-072 (PPO D-SNP) Tier 5 - Specialty 30 per 30 days QL
HumanaChoice H5525-083 (PPO) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus H6622-025 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Gold Plus H6622-026 (HMO-POS) Tier 5 - Specialty 30 per 30 days QL
Humana Dual Select H6622-027 (HMO-POS D-SNP) Tier 5 - Specialty 30 per 30 days QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 23 hours, 49 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 5 - Preferred Brand Specialty None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 5 - Preferred Brand Specialty None
NC State Health Plan - HDHP 2026 Tier 5 - Preferred Brand Specialty None
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