garadacimab-gxii

Generic: Andembry

200 mg/1.2 mL — Auto-Injector

CORTICOSTEROIDS-IMMUNE MODULATORS

Also known as: ANDEMBRY AUTOINJECTOR

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 15 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Bronze Essential + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Silver Essential + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Bronze Signature + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Silver Signature + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Gold Premier + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Gold Signature + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Silver Premier + No Referrals
via Andembry
Tier 5 - Specialty PA
AmeriHealth Caritas Next Bronze Premier + No Referrals
via Andembry
Tier 5 - Specialty PA
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 15 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026
via Andembry
Tier 5 - Non-Preferred Specialty PA
BCBS Federal Basic Option 2026
via Andembry
Tier 5 - Non-Preferred Specialty PA
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 15 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Andembry
Tier 5 - Specialty PA | QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Andembry
Tier 5 - Specialty PA | QL
BCBSNC Blue Local 2026
via Andembry
Tier 5 - Specialty PA | QL
BCBSNC Blue Care 2026
via Andembry
Tier 5 - Specialty PA | QL
BCBSNC Blue Value 2026
via Andembry
Tier 5 - Specialty PA | QL
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 15 hours, 24 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary PA
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