LUPRON DEPOT (1-MONTH)- leuprolide acetate for

3.75 mg, 7.5 mg — Injection

ANTINEOPLASTICS

Also known as: LUPRON DEPOT (1-MONTH) KIT 3.75MG LUPRON DEPOT (1-MONTH) KIT 7.5MG LUPRON DEPOT (1-MONTH)- leuprolide acetate for inj kit 3.75 mg, 7.5 mg LUPRON DEPOT (1-MONTH) KIT 3.75MG, 7.5MG

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: Jul 1, 2026  ·  Checked: 18 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026 Tier 5 - Specialty None
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 5 - Specialty None
BCBSNC Blue Local 2026 Tier 5 - Specialty None
BCBSNC Blue Care 2026 Tier 5 - Specialty None
BCBSNC Blue Value 2026 Tier 5 - Specialty None
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