Gammagard Liquid Erc

10 % — Solution

Also known as: GAMMAGARD LIQUID ERC SOLN 5GM/50ML, 10GM/100ML

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

3 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 3 hours, 19 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

1 plan

Source: Excel (XLSX) · Formulary date: Oct 29, 2026 · Checked: 3 hours, 19 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 2 - Brand Formulary	—	✓	—	ST Step therapy: SELECT MEDICATIONS W/O PRIOR USE IN THE LAST 365 DAYS REQUIRES PRIOR AUTHORIZATION