Palforzia

Generic: peanut allergenic extract

Capsule

ALLERGENIC EXTRACTS

Also known as: PALFORZIA CAP ESCALAT PALFORZIA CAP LEVEL 3 PALFORZIA CAP LEVEL 7 PALFORZIA CAP LEVEL 8 PALFORZIA CAP LEVEL 10 PALFORZIA CAP 1-3YRS PALFORZIA CAP 4-17YRS

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: 4 hours, 27 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
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 4 hours, 26 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
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
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