Corifact

Generic: factor xiii concentrate (human) for

1600UNIT — Kit

HEMATOLOGICAL AGENTS - MISC.

Also known as: CORIFACT KIT 1000-1600UNIT

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: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty None
BCBS Federal Basic Option 2026 Tier 4 - Preferred Specialty None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Local 2026 Tier 5 - Specialty Limited Distribution None
BCBSNC Blue Care 2026 Tier 5 - Specialty Limited Distribution None
BCBSNC Blue Value 2026 Tier 5 - Specialty Limited Distribution None
BCBSNC Blue Advantage 2026 Tier 5 - Specialty Limited Distribution None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 5 - Specialty Limited Distribution None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 18 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 6 - Non-Preferred Brand Specialty PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 6 - Non-Preferred Brand Specialty PA
NC State Health Plan - HDHP 2026 Tier 6 - Non-Preferred Brand Specialty PA
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