Ajovy

Generic: fremanezumab-vfrm subcutaneous

225 MG — Auto-Injector

Also known as: Ajovy 225 Mg/1.5 Ml Auto-Injector Ajovy 225 Mg/1.5Ml Auto-Injector (X3) Ajovy 225 Mg/1.5 Ml Syringe

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

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 25 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026	Tier 3 - High Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 3 - High Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Local 2026	Tier 3 - High Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Care 2026	Tier 3 - High Cost Brand	✓	—	✓ Restricted Access	PA \| QL
BCBSNC Blue Value 2026	Tier 3 - High Cost Brand	✓	—	✓ Restricted Access	PA \| QL

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 20 hours, 25 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 2 - Preferred Brand	✓	—	—	PA