Releuko

Generic: filgrastim-ayow

300MCG/0.5ML, 480MCG/0.8ML — Prefilled Syringe

HEMATOPOIETIC GROWTH FACTORS

Also known as: filgrastim-ayow RELEUKO SOLN 300MCG/ML; SOSY 300MCG/0.5ML, 480MCG/0.8ML RELEUKO SOSY 300MCG/0.5ML, 480MCG/0.8ML Releuko Sosy RELEUKO SOSY 300MCG/0.5ML,

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: 1 hour, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Basic Option 2026 Tier 5 - Non-Preferred Specialty PA
BCBS Federal Standard Option 2026 Tier 5 - Non-Preferred Specialty PA
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 1 hour, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 48 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
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 1 hour, 48 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via filgrastim-ayow
Tier 3 - Non-Formulary PA
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