Cibinqo

Generic: abrocitinib

50MG, 100MG, 200MG — Tablet

DERMATOLOGICALS

Also known as: abrocitinib CIBINQO TABS 50MG, 100MG, 200MG

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 5 - Specialty Restricted Access PA | QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 5 - Specialty Restricted Access PA | QL
BCBSNC Blue Local 2026 Tier 5 - Specialty Restricted Access PA | QL
BCBSNC Blue Care 2026 Tier 5 - Specialty Restricted Access PA | QL
BCBSNC Blue Value 2026 Tier 5 - Specialty Restricted Access PA | QL
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 22 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 5 - Specialty 30 per 30 days PA | QL
Troy Medicare (HMO) Tier 5 - Specialty 30 per 30 days PA | QL
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 5 - Specialty 30 per 30 days PA | QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Non-Preferred PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 22 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 Tier 5 - Preferred Brand Specialty PA | QL
NC State Health Plan - HDHP 2026 Tier 5 - Preferred Brand Specialty PA | QL
NC State Health Plan - 80/20 Plus PPO 2026 Tier 5 - Preferred Brand Specialty PA | QL
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 22 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via abrocitinib
Tier 3 - Non-Formulary PA
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