Repatha Pushtronex
420 MG/3.5 — WEARABLE 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.
TRICARE
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 2 - Brand Formulary | — | ✓ | ✓ REPATHA PUSHTRONEX TO BE DISP AT MAX QTY OF 1 UNIT(3.5ML) PER DISP AT RTL OR 3 UNITS(10.5ML) AT MAIL | ST | QL Step therapy: EVOLOCUMAB W/O USE IN 180D OR NOT RX BY CARDIOLOGIST,ENDOCRINOLOGIST,CARDIAC TRANSPLANT REQ PA; Quantity limit |