venxxiva

100 MG, 300 MG — TABLET, ENTERIC COATED

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

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 8 hours, 59 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026 via venxxiva tbec	Tier 2 - Preferred Brand	✓	—	—	PA
BCBS Federal Standard Option 2026 via venxxiva tbec	Tier 4 - Preferred Specialty	✓	—	—	PA
BCBS Federal Basic Option 2026 via venxxiva tbec	Tier 4 - Preferred Specialty	✓	—	—	PA

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 8 hours, 59 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via venxxiva tbec	Tier 4 - Specialty Generic	✓	—	—	PA
NC State Health Plan - 70/30 Standard PPO 2026 via venxxiva tbec	Tier 4 - Specialty Generic	✓	—	—	PA
NC State Health Plan - HDHP 2026 via venxxiva tbec	Tier 4 - Specialty Generic	✓	—	—	PA

1 plan

Source: Excel (XLSX) · Formulary date: Sep 23, 2026 · Checked: 8 hours, 59 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 1 - Generic Formulary	✓	—	—	PA PA: 1270/48001/90693 PA DRUGS, DOD PA REQUIRED