Does Anthem (Elevance Health) Cover Provigil (Modafinil)?
Anthem covers modafinil (Provigil) with prior authorization and step therapy. Learn formulary tier, PA criteria, appeal steps, and how to cut costs.
Modafinil
92 source-based articles maintained by the HealthRX.com Editorial Team.
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May 25, 2026latest review
Modafinil library
Showing 92 of 92 clinical reviews.
Does Blue Cross Blue Shield (Federated) Cover Provigil (Modafinil)?
A guide to Blue Cross Blue Shield (Federated) coverage of Provigil (modafinil), including prior authorization criteria, step therapy, formulary tier, appeal strategies, and out-of-pocket alternatives.
Does Cigna Cover Provigil (Modafinil)? Coverage Rules, PA Criteria, and Appeal Steps
A guide to Cigna's Provigil coverage policy, prior authorization criteria, step therapy requirements, formulary tier placement, and how to win an appeal if denied.
Does Humana Cover Provigil (Modafinil)? Formulary, Prior Authorization, and Appeal Steps
Find out whether Humana covers Provigil (modafinil) for narcolepsy and shift-work disorder, including formulary tier, prior-authorization criteria, step therapy, appeal pathways, and cost-saving alternatives.
Does Kaiser Permanente Cover Provigil (Modafinil)?
A clinical guide to Kaiser Permanente's Provigil coverage policy, prior authorization requirements, step therapy rules, formulary tier, and how to appeal a denial, with real costs and alternative options.
Does Medicare Advantage Cover Provigil (Modafinil)?
A guide to Medicare Advantage coverage of Provigil (modafinil): formulary tiers, prior authorization requirements, step therapy rules, appeal strategies, and cash-pay alternatives as of 2025.
Does State Medicaid Cover Provigil (Modafinil)? Coverage by State, Prior Auth, and Appeals
State Medicaid coverage for Provigil (modafinil) varies widely. Learn which states cover it, prior-authorization requirements, step therapy rules, formulary tiers, and how to appeal a denial.
Does TRICARE Cover Provigil (Modafinil)? Coverage, Prior Auth, and Appeals Explained
A complete guide to TRICARE coverage of Provigil (modafinil): formulary tier, prior-authorization criteria, step therapy requirements, appeal steps, and cash-pay alternatives.
Does UnitedHealthcare Cover Provigil (Modafinil)?
A complete guide to UnitedHealthcare coverage for Provigil (modafinil): formulary tier, prior authorization criteria, step therapy requirements, appeal process, and cash-pay alternatives.
How to Get Provigil (Modafinil) in California
A guide to getting a Provigil or generic modafinil prescription in California, covering telehealth eligibility, prior authorization, pharmacy access, and what parts of this process change month to month.
How to Get Provigil (Modafinil) in Florida: Prescriptions, Telehealth, and Pharmacies
A complete clinical guide to obtaining a Provigil (modafinil) prescription in Florida, including telehealth options, required labs, prior authorization steps, pharmacy access, and dosing.
How to Get Provigil (Modafinil) in Georgia: Telehealth, Prescriptions, and Pharmacy Options
A guide to obtaining a Provigil (modafinil) prescription in Georgia, including telehealth options, prior authorization steps, pharmacy access, and Georgia-specific Medicaid limitations.
How to Get Provigil (Modafinil) in Maine: Telehealth, Prescribers, and Pharmacy Access
A clinical guide to obtaining a Provigil (modafinil) prescription in Maine, covering telehealth options, prior authorization, pharmacy access, and prescriber types, with a checklist for verifying which facts are stable and which change over time.
How to Get Provigil (Modafinil) in Maryland
A step-by-step guide to obtaining a Provigil (modafinil) prescription in Maryland, including telehealth options, prior authorization, pharmacy access, and insurance coverage.
How to Get Provigil (Modafinil) in Michigan
A Michigan-specific guide to obtaining a Provigil (modafinil) prescription, including telehealth options, prior authorization steps, pharmacy access, and Medicaid coverage details.
How to Get Provigil (Modafinil) in Nevada: Telehealth, Prescribers, and Pharmacy Access
A clinical guide to obtaining a Provigil (modafinil) prescription in Nevada, covering telehealth options, prescriber types, prior authorization, 503A compounding pharmacies, and Nevada Medicaid limitations.
How to Get Provigil (Modafinil) in New Mexico: Telehealth, Pharmacies, and Prescription Steps
A step-by-step guide to obtaining a Provigil (modafinil) prescription in New Mexico, covering telehealth options, pharmacy access, prior authorization, and insurance coverage.
How to Get Provigil (Modafinil) in New York
Step-by-step guide to getting a Provigil or generic modafinil prescription in New York, including telehealth options, pharmacy access, insurance coverage, and prior authorization requirements.
How to Get Provigil (Modafinil) in Ohio: Telehealth, Prescribing Rules, and Pharmacy Access
A clinical guide to obtaining a Provigil (modafinil) prescription in Ohio, covering telehealth options, prescriber types, prior authorization, pharmacy access, and Ohio-specific Medicaid rules.
How to Get Provigil (Modafinil) in Oregon: Telehealth, Prescribers, and Pharmacy Access
A clinical guide to obtaining a Provigil (modafinil) prescription in Oregon, covering telehealth options, prior authorization, 503A compounding pharmacies, and prescriber requirements.
How to Get Provigil (Modafinil) in Pennsylvania
A clinical guide to obtaining a modafinil (Provigil) prescription in Pennsylvania, covering telehealth rules, pharmacy access, insurance prior authorization, and what remains unverified about local plan and pricing details.
How to Get Provigil (Modafinil) in Tennessee: Telehealth, Prescribers, and Pharmacy Options
A clinical guide to obtaining a modafinil (Provigil) prescription in Tennessee, covering telehealth options, prescriber types, prior authorization, labs, and pharmacy access.
How to Get Provigil (Modafinil) in Texas: Telehealth, Prescription, and Pharmacy Guide
Step-by-step guide to getting a Provigil (modafinil) prescription in Texas, including telehealth options, prior authorization, labs, 503A pharmacies, and cost-saving strategies.
How to Get Provigil (Modafinil) in Utah: Telehealth, Pharmacies, and Prescription Access
A complete guide to getting a Provigil (modafinil) prescription in Utah, including telehealth options, pharmacy access, prior authorization steps, and Utah-specific prescribing rules.
How to Get Provigil (Modafinil) in Vermont: Telehealth, Pharmacy, and Insurance Guide
A guide to obtaining a modafinil (Provigil) prescription in Vermont, covering telehealth options, prior authorization, pharmacy access, and state-specific rules.
How to Get Provigil (Modafinil) in Virginia: Telehealth, Prescribers, and Pharmacy Access
A guide to obtaining a Provigil (modafinil) prescription in Virginia, covering telehealth options, prior authorization, 503A pharmacies, and state-specific prescribing rules.
How to Get Provigil (Modafinil) in Washington State
A clinical guide to obtaining a Provigil (modafinil) prescription in Washington, including telehealth options, prior authorization steps, pharmacy access, and insurance coverage details.
How to Get Provigil in Arizona: Prescriptions, Telehealth, and Pharmacies
A complete guide to obtaining a modafinil (Provigil) prescription in Arizona, including telehealth options, prior authorization requirements, 503A compounding pharmacies, and what to expect at each step.
How to Get Provigil in Arkansas: Prescriptions, Telehealth, and Pharmacies
A guide to obtaining modafinil (Provigil) in Arkansas, covering telehealth access, prior authorization, pharmacy options, and step-by-step prescription logistics.
How to Get Provigil in Indiana: Prescriptions, Telehealth, and Pharmacies
A complete clinical guide to obtaining modafinil (Provigil) in Indiana, covering telehealth prescribers, prior authorization, pharmacy options, and what to expect at each step.
Is Modafinil a Controlled Substance? US, UK, Canada, and EU Status
Is modafinil a controlled substance or narcotic? Compare its Schedule IV status in the United States with prescription rules in the UK, Canada, and European Union.
Modafinil (Provigil) Dosing for Older Adults (50 to 64): What Your Doctor Should Adjust
Evidence-based guide to modafinil (Provigil) dosing in adults aged 50 to 64, covering starting doses, titration, hepatic considerations, polypharmacy risks, and cardiovascular monitoring.
Modafinil (Provigil) Food & Supplement Interactions: What to Take, What to Avoid
Evidence-based guide to modafinil food and supplement interactions, including caffeine, grapefruit, St. John's wort, and timing with meals. prepared by the HealthRX.com Editorial Team.
Modafinil (Provigil) Geriatric Dosing: Safe Use in Adults 65 and Older
Evidence-based guide to modafinil dosing in older adults (65+), covering starting doses, hepatic and renal considerations, drug interactions, and fall-risk management.
Modafinil (Provigil) Pregnancy & Lactation Safety: What the Evidence Shows
Board-reviewed guide to modafinil use during pregnancy and breastfeeding, covering FDA pregnancy category, animal data, human registry findings, and clinical decision-making for prescribers and patients.
Modafinil Future Formulations & Pipeline: What Comes After Provigil
A clinical review of modafinil's next-generation formulations, novel wake-promoting agents in development, and pipeline drugs targeting the same orexin and dopamine pathways as Provigil.
Modafinil Interactions: Full List and Risk Levels
Modafinil induces CYP3A4 and inhibits CYP2C19, lowering birth control and cyclosporine efficacy while raising levels of omeprazole, diazepam, and phenytoin.
Modafinil Monitoring for Adults (30-49): Lab Tests, Safety Checks, and Follow-Up Schedule
Evidence-based monitoring guide for adults aged 30-49 taking modafinil (Provigil). Covers baseline labs, cardiovascular screening, liver function, blood pressure tracking, and ongoing safety checks.
Modafinil Overdose: Symptoms, Risk Levels, and What to Do
Took too much modafinil? Learn overdose symptoms, dose thresholds, and when to call Poison Control or emergency services for evidence-based care.
Modafinil Pharmacogenomics: How Genetic Variability Shapes Provigil Response
Explore how CYP2C19, CYP3A4, COMT, and DAT1 gene variants affect modafinil metabolism, efficacy, and side effects. Evidence-based pharmacogenomic guidance for Provigil.
Modafinil Safety Signals and FDA Actions: What Clinicians and Patients Should Know
A comprehensive review of modafinil (Provigil) safety signals, FDA regulatory actions, serious dermatologic reactions, psychiatric adverse events, and the rejected pediatric indication.
Modafinil Starting Dose for Adults (200 mg Guide)
Standard adult modafinil starting dose is 200 mg each morning, up to 400 mg max. See timing for narcolepsy, shift work, OSA, and liver dose adjustments.
Provigil (Modafinil) Adolescent (12 to 17) Monitoring: A Clinical Guide
A guide to monitoring modafinil (Provigil) in adolescents aged 12 to 17, covering growth velocity, psychiatric surveillance, cardiovascular checks, sleep tracking, and when to stop therapy.
Provigil (Modafinil) Adolescent Dosing: Ages 12 to 17
Evidence-based guide to modafinil (Provigil) dosing in adolescents aged 12 to 17, covering off-label narcolepsy use, safety monitoring, titration schedules, and growth considerations.
Provigil (Modafinil) Cost in Arizona 2026: Prices, Insurance, and Savings
What is established versus date-sensitive about Provigil and generic modafinil costs in Arizona: FDA-approved uses, Arizona Medicaid coverage status, insurance and telehealth access, and 503A compounding, with a verification checklist for price claims that change.
Provigil (Modafinil) Cost in Massachusetts: 2026 Pricing, Insurance, and Savings Guide
What Provigil and generic modafinil cost in Massachusetts in 2026, including cash prices, Medicaid coverage, insurance options, telehealth access, and 503A compounding pharmacies.
Provigil (Modafinil) Cost in Nebraska: Prices, Insurance, and Savings in 2026
What is stable and verifiable about Provigil and generic modafinil pricing, insurance coverage, and access in Nebraska, and what you still need to confirm directly with your pharmacy, plan, or prescriber.
Provigil (Modafinil) Cost in New Jersey: 2026 Pricing, Insurance, and Savings Guide
Compare Provigil and generic modafinil prices across New Jersey pharmacies in 2026. Learn about NJ Medicaid coverage, insurance options, telehealth access, and how to pay as little as $80/month or less.
Provigil (Modafinil) Cost in New York: Prices, Insurance, and Savings in 2026
What is known and not yet verified about Provigil and generic modafinil pricing in New York, including Medicaid prior authorization, commercial insurance formulary placement, telehealth prescribing, and compounded modafinil rules, plus a checklist for confirming current numbers before you rely on them.
Provigil (Modafinil) Cost in Oklahoma: Prices, Insurance, and Savings in 2026
Current Provigil and generic modafinil prices in Oklahoma for 2026. Compare cash-pay, insurance, Medicaid, telehealth, and 503A compounding options across Oklahoma pharmacies.
Provigil (Modafinil) Cost in South Carolina: Prices, Insurance, and Savings in 2026
Current Provigil and generic modafinil prices in South Carolina for 2026. Compare cash-pay, insurance, Medicaid, telehealth, and discount options across SC pharmacies.
Provigil (Modafinil) Cost in Tennessee: Prices, Insurance, and Savings in 2026
What is stable and what is not yet verified about Provigil and generic modafinil costs in Tennessee, including cash pricing ranges, TennCare status, commercial insurance patterns, and how to verify current numbers before you fill a prescription.
Provigil (Modafinil) Cost in Texas 2026: Insurance, Medicaid, and Savings Options
What Provigil and generic modafinil cost in Texas in 2026, including cash prices, Medicaid coverage, insurance options, telehealth access, and compounded alternatives.
Provigil (Modafinil) Cost in Utah: Prices, Insurance, and Savings for 2026
Compare Provigil and generic modafinil prices across Utah pharmacies in 2026. Learn about Utah Medicaid coverage, insurance options, 503A compounding, telehealth access, and discount programs.
Provigil (Modafinil) Cost in West Virginia: 2026 Prices, Insurance, and Savings
Compare Provigil and generic modafinil prices in West Virginia for 2026. Learn about Medicaid coverage, insurance options, telehealth access, discount programs, and 503A compounding pharmacy availability.
Provigil (Modafinil) Dosing in Renal Impairment: Evidence-Based Adjustments
How to think about modafinil dosing in patients with chronic kidney disease, including FDA label guidance, what is known about metabolite handling, dialysis considerations, and a monitoring framework. Pending qualified clinical review.
Provigil (Modafinil) in Special Populations: Transplant, HIV, Renal, Hepatic, Elderly, and More
A clinician-level review of how modafinil (Provigil) is dosed, metabolized, and monitored in transplant recipients, people living with HIV, patients with renal or hepatic impairment, older adults, pregnant patients, and children, with primary-source citations throughout.
Provigil (Modafinil) Monitoring for Older Adults (50 to 64): What Your Doctor Should Track
Evidence-based monitoring guide for modafinil (Provigil) in adults aged 50 to 64, covering cardiovascular checks, liver function, drug interactions, sleep studies, and blood pressure targets.
Provigil (Modafinil) Monitoring for Young Adults Ages 18 to 29
A clinical guide to modafinil monitoring for young adults ages 18 to 29, covering cardiovascular, psychiatric, sleep, and reproductive health checkpoints, dosing, and when to escalate care.
Provigil (Modafinil) Monitoring in Geriatric Patients (65+): What Clinicians and Caregivers Need to Know
Evidence-based guide to monitoring modafinil (Provigil) in adults 65 and older, covering dose adjustments, lab schedules, drug interactions, fall risk, and deprescribing criteria.
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