Imuldosa

Generic: ustekinumab-srlf

45 MG, 90 MG, 130 MG — Prefilled Syringe

Also known as: Imuldosa 45 Mg/0.5 Ml Syringe (By Accord) Imuldosa 90 Mg/Ml Syringe (By Accord)

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

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 20 hours, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 4 - Specialty	✓	—	✓ Specialty Pharmacy Required	PA \| QL

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 20 hours, 42 minutes ago

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