Koate-Dvi Solr

1000UNIT

ANTIHEMOPHILIC PRODUCTS

Also known as: KOATE-DVI SOLR 1000UNIT

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 19 hours, 9 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Standard Option 2026 Tier 4 - Preferred Specialty None
BCBS Federal Basic Option 2026 Tier 4 - Preferred Specialty None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 19 hours, 9 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 6 - Non-Preferred Brand Specialty PA
NC State Health Plan - 70/30 Standard PPO 2026 Tier 6 - Non-Preferred Brand Specialty PA
NC State Health Plan - HDHP 2026 Tier 6 - Non-Preferred Brand Specialty PA
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