Leqembi Iqlik

Generic: lecanemab-irmb

360MG/1.8ML — Auto-Injector

Also known as: LEQEMBI IQLIK SOAJ 360MG/1.8ML

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

2 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 2 hours, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026	Tier 5 - Non-Preferred Specialty	✓	—	—	PA
BCBS Federal Basic Option 2026	Tier 5 - Non-Preferred Specialty	✓	—	—	PA

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 1 hour, 57 minutes ago

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