Otulfi

Generic: ustekinumab-aauz

45 MG, 90 MG, 130 MG — Prefilled Syringe

Interleukin-12 Antagonist

Also known as: ustekinumab-aauz OTULFI SOLN 130MG/26ML

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: 6 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026
via ustekinumab-aauz
Tier 2 - Preferred Brand PA
BCBS Federal Standard Option 2026
via ustekinumab-aauz
Tier 4 - Preferred Specialty PA
BCBS Federal Basic Option 2026
via ustekinumab-aauz
Tier 4 - Preferred Specialty PA
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 6 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic 1 per 28 days PA | QL
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H6622-025 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H6622-026 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Dual Select H6622-027 (HMO-POS D-SNP) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H6622-057 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H6622-060 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H6622-061 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Choice H8145-004 (PFFS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H1036-137 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H1036-233 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Dual Select H1036-307 (HMO D-SNP) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus Giveback H1036-318 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Gold Plus H1036-335 (HMO-POS) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice Giveback H5216-017 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice H5216-211 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Full Access H5525-034 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice Giveback H5525-035 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice SNP-DE H5525-036 (PPO D-SNP) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice H5525-049 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice H5525-050 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice H5525-070 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
Humana Dual Select H5525-072 (PPO D-SNP) Tier 5 - Specialty 3 per 84 days PA | QL
HumanaChoice H5525-083 (PPO) Tier 5 - Specialty 3 per 84 days PA | QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 6 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via ustekinumab-aauz
Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026
via ustekinumab-aauz
Not Covered None
NC State Health Plan - HDHP 2026
via ustekinumab-aauz
Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 6 hours, 40 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via ustekinumab-aauz
Tier 3 - Non-Formulary PA
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