Beqvez

Generic: fidanacogene elaparvovec-dzkt

1ML — Injection

Also known as: BEQVEZ INJ 4X1ML BEQVEZ INJ 5X1ML BEQVEZ INJ 6 X 1ML BEQVEZ INJ 7X1ML

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

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 13 hours, 21 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Medical Benefit	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Medical Benefit	—	—	—	None
NC State Health Plan - HDHP 2026	Medical Benefit	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 13 hours, 21 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via fidanacogene elaparvovec-dzkt	Tier 3 - Non-Formulary	—	—	—	None