Ebglyss

Generic: lebrikizumab-lbkz

250MG/2ML — Pen Injector

DERMATOLOGICALS

Also known as: lebrikizumab-lbkz EBGLYSS SOAJ 250MG/2ML; SOSY 250MG/2ML Ebglyss Syringe

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: 18 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026 Tier 2 - Preferred Brand PA
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty PA
BCBS Federal Basic Option 2026 Tier 4 - Preferred Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 18 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026 Tier 5 - Specialty Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Care 2026 Tier 5 - Specialty Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Local 2026 Tier 5 - Specialty Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Advantage 2026 Tier 5 - Specialty Restricted Access; Limited Distribution PA | QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 5 - Specialty Restricted Access; Limited Distribution PA | QL
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 18 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AARP Medicare Advantage from UHC NC-0019 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0022 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0007 (HMO-POS) Tier 5 - Specialty PA
UHC Dual Complete NC-D001 (HMO-POS D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0008 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0009 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0011 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0012 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) Tier 5 - Specialty PA
UHC Dual Complete NC-V001 (HMO-POS D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) Tier 5 - Specialty PA
UHC Dual Complete NC-S3 (HMO-POS D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-24 (HMO-POS) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-26 (HMO-POS) Tier 5 - Specialty PA
Erickson Advantage Signature (HMO-POS) Tier 5 - Specialty PA
UHC Nursing Home Plan NC-F001 (PPO I-SNP) Tier 5 - Specialty PA
Erickson Advantage Freedom (HMO-POS) Tier 5 - Specialty PA
Erickson Advantage Liberty (HMO-POS) Tier 5 - Specialty PA
UHC Complete Care NC-25 (HMO-POS C-SNP) Tier 5 - Specialty PA
UHC Complete Care NC-27 (HMO-POS C-SNP) Tier 5 - Specialty PA
UHC Complete Care NC-28 (HMO-POS C-SNP) Tier 5 - Specialty PA
Erickson Advantage Champion (HMO-POS C-SNP) Tier 5 - Specialty PA
Erickson Advantage Guardian (HMO-POS I-SNP) Tier 5 - Specialty PA
UHC Dual Complete NC-S001 (PPO D-SNP) Tier 5 - Specialty PA
UHC Dual Complete NC-S2 (PPO D-SNP) Tier 5 - Specialty PA
AARP Medicare Advantage Access from UHC NC-23 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0001 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0004 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0016 (PPO) Tier 5 - Specialty PA
AARP Medicare Advantage from UHC NC-0017 (PPO) Tier 5 - Specialty PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 18 hours, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Preferred PA
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