Leqembi
Generic: lecanemab
200MG/2ML, 500MG/5ML — Vial
Also known as:
LEQEMBI SOLN 200MG/2ML, 500MG/5ML
Leqembi Vial
lecanemab-irmb
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Medicare Part D
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
| Troy Medicare (HMO) | Tier 5 - Specialty | ✓ | — | — | PA |
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Tier 5 - Specialty | ✓ | — | — | PA |
NC Medicaid PDL
1 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - HDHP 2026 | Medical Benefit | — | — | — | None |
| NC State Health Plan - 80/20 Plus PPO 2026 | Medical Benefit | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Medical Benefit | — | — | — | None |