Comirnaty/5-11Y/2025-26

Generic: covid-19 mrna vac tris-s 5-11y- pfizer im

10MCG/0.3ML — Suspension

ANTIMALARIALS

Also known as: COMIRNATY/5-11Y/2025-26 SUSP 10MCG/0.3ML COMIRNATY/5-11Y/2025-26 SUSP

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: Oct 1, 2026  ·  Checked: 22 hours, 23 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Comirnaty/5-11Y/2026-27
Tier A - ACA $0 Copay — — — None
BCBSNC Blue Home with UNC Health Alliance 2026
via Comirnaty/5-11Y/2026-27
Tier A - ACA $0 Copay — — — None
BCBSNC Blue Local 2026
via Comirnaty/5-11Y/2026-27
Tier A - ACA $0 Copay — — — None
BCBSNC Blue Care 2026
via Comirnaty/5-11Y/2026-27
Tier A - ACA $0 Copay — — — None
BCBSNC Blue Value 2026
via Comirnaty/5-11Y/2026-27
Tier A - ACA $0 Copay — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 22 hours, 23 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via Comirnaty/5-11Y/2026-27
Tier 0 - $0 Copay (ACA Preventive) — — — None
NC State Health Plan - 70/30 Standard PPO 2026
via Comirnaty/5-11Y/2026-27
Tier 0 - $0 Copay (ACA Preventive) — — — None
NC State Health Plan - HDHP 2026
via Comirnaty/5-11Y/2026-27
Tier 0 - $0 Copay (ACA Preventive) — — — None
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