Hyrimoz Pen / Crohn's-UC Pen / Ped. Crohn's Pen / Syringe / Psoriasis

Pen Injector

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

1 plan

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 12 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	✓	✓	—	PA \| ST