bimekizumab-bkzx
Generic: Bimzelx
160 mg/mL, 320 mg/2 mL — Prefilled Syringe
TARGETED IMMUNOMODULATORY BIOLOGICS
Also known as:
BIMZELX AUTOINJECTOR
BIMZELX
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Advantage 2026
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Local 2026
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Care 2026
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Value 2026
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
Medicare Part D
37 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
DEVOTED CHOICE GIVEBACK 009 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CHOICE GIVEBACK 006 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CHOICE 008 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Dual (HMO D-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Value Plus (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Prime (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature Care (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Full Dual Care (HMO D-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Enhanced (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Enhanced (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Enhanced (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature Extra (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature Giveback (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Signature (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Chronic Care (HMO C-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Aetna Medicare Chronic Care Value (HMO C-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED DUAL FULL 013 NC (HMO D-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED DUAL PLUS 006 NC (HMO D-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED DUAL 009 NC (HMO D-SNP)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CORE 001 NC (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED GIVEBACK 002 NC (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED GIVEBACK 012 NC (HMO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CHOICE 001 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CHOICE GIVEBACK 002 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CHOICE 003 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CHOICE GIVEBACK 004 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
DEVOTED CHOICE 005 NC (PPO)
via Bimzelx |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |