Redemplo

Generic: plozasiran sodium subcut

25MG/0.5ML — Prefilled Syringe

Also known as: REDEMPLO SOSY 25MG/0.5ML

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 46 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	✓	—	—	PA

5 plans

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 46 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Local 2026	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Care 2026	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Home with UNC Health Alliance 2026	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Advantage 2026	Tier 5 - Specialty	✓	—	✓	PA \| QL
BCBSNC Blue Value 2026	Tier 5 - Specialty	✓	—	✓	PA \| QL

1 plan

Source: PDF · Formulary date: Oct 1, 2026 · Checked: 12 hours, 46 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	✓	—	—	PA