Praluent
Generic: alirocumab
75 MG, 150 MG — Auto-Injector
Also known as:
alirocumab
Compare Prices
Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Gold Premier + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Essential + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Tier 3 - Preferred Brand | ✓ | — | ✓ | PA | QL |
Medicare Part D
15 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Provider Partners North Carolina Advantage Plan (HMO I-SNP) | Tier 1 - Preferred Generic | ✓ | — | ✓ 2 per 28 days | PA | QL |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | Tier 1 - Preferred Generic | ✓ | — | ✓ 2 per 28 days | PA | QL |
| Provider Partners North Carolina Essential Plan (HMO I-SNP) | Tier 1 - Preferred Generic | ✓ | — | ✓ 2 per 28 days | PA | QL |
| Wellcare Dual Reserve (HMO-POS D-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Simple (HMO-POS) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Simple Open (PPO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Dual Access (HMO-POS D-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Assist Open (PPO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Dual Liberty Open (PPO D-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) | Tier 3 - Preferred Brand | ✓ | — | ✓ 2 per 28 days | PA | QL |
| HealthTeam Advantage Vitality Plan (PPO) | Tier 3 - Preferred Brand | ✓ | — | ✓ 2 per 28 days | PA | QL |
| HealthTeam Advantage Plan II (PPO) | Tier 3 - Preferred Brand | ✓ | — | ✓ 2 per 28 days | PA | QL |
| HealthTeam Advantage Plan I (PPO) | Tier 3 - Preferred Brand | ✓ | — | ✓ 2 per 28 days | PA | QL |
| Wellcare Giveback Open (PPO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Dual Liberty (HMO-POS D-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
NC Medicaid PDL
1 planOscar Health
28 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AIAN Cost Share | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Classic Standard | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| AIAN Cost Share | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Classic Standard | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Gold Classic Standard | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Classic Standard | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Classic Standard | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Gold Classic Standard | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Elite + PCP Saver Plus | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Classic | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Secure | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Classic 4700 | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Simple PCP Saver | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Gold Elite Saver Plus | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Simple Diabetes | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Secure | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Classic 4700 | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Elite + PCP Saver Plus | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Classic | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Simple Diabetes | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Simple PCP Saver | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Gold Elite Saver Plus | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Simple Chronic Care CKM | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Bronze Simple Diabetes | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Simple Chronic Care CKM | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
| Silver Simple Women's Health with Menopause Benefits | with Atrium Health | Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |