LUPRON DEPOT (3-MONTH)- leuprolide acetate (3 month) for
11.25 mg, 22.5 mg — Injection
Also known as:
LUPRON DEPOT (3-MONTH) KIT 11.25MG
LUPRON DEPOT (3-MONTH) KIT 22.5MG
LUPRON DEPOT (3-MONTH)- leuprolide acetate (3 month) for inj kit 11.25 mg, 22.5 mg
LUPRON DEPOT (3-MONTH) KIT 11.25MG, 22.5MG
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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.
Blue Cross Blue Shield of NC
5 plans| 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 |