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.
AmeriHealth Caritas NC
10 plans| 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 |
Blue Cross Blue Shield Federal
2 plans| 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 |
Blue Cross Blue Shield of NC
5 plans| 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 |