rilzabrutinib

400 mg — Tablet

Also known as: WAYRILZ

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

2 plans

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 17 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026 via Wayrilz	Tier 5 - Non-Preferred Specialty	✓	—	—	PA
BCBS Federal Basic Option 2026 via Wayrilz	Tier 5 - Non-Preferred Specialty	✓	—	—	PA

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 17 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Wayrilz	Non-Preferred	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 17 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA