filgrastim-ayow

Generic: Releuko

300 mcg/0.5 mL, 480 mcg/0.8 mL — Prefilled Syringe

Also known as: RELEUKO

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 6 hours, 40 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Basic Option 2026 via Releuko	Tier 5 - Non-Preferred Specialty	✓	—	—	PA
BCBS Federal Standard Option 2026 via Releuko	Tier 5 - Non-Preferred Specialty	✓	—	—	PA

1 plan

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 6 hours, 40 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Longevity Health Plan (HMO I-SNP) via Releuko	Tier 1 - Preferred Generic	✓	—	—	PA

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 6 hours, 40 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 via Releuko	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026 via Releuko	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026 via Releuko	Not Covered	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 6 hours, 40 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA