fidanacogene elaparvovec-dzkt
1 X 10exp13 vector genomes/mL (1 mL x 6), 1 x 10exp13 vector genomes/mL (1 mL x 4), 1 x 10exp13 vector genomes/mL (1 mL x 5), 1 x 10exp13 vector genomes/mL (1 mL x 7) — Kit
Also known as:
BEQVEZ
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via Beqvez |
Medical Benefit | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Beqvez |
Medical Benefit | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Beqvez |
Medical Benefit | — | — | — | None |