Praluent Subcutaneous
Auto-Injector
Also known as:
Praluent Subcutaneous Solution Auto-injector
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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.
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Bronze Essential + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Gold Signature + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Gold Premier + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Signature + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Essential + No Referrals | Brand-Preferred | ✓ | — | ✓ | PA | QL |
| AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals | Brand-Preferred | ✓ | — | ✓ | 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 Giveback Open (PPO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Simple (HMO-POS) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Dual Liberty (HMO-POS D-SNP) | 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 Dual Reserve (HMO-POS D-SNP) | Tier 3 - Preferred Brand | ✓ | — | — | PA |
| Wellcare Simple Open (PPO) | Tier 3 - Preferred Brand | ✓ | — | — | PA |