SARS-CoV-2 (COVID-19) vaccine, mRNA-BNT162b2

0.015 MG — Suspension

Also known as: Pfizer COVID-19 Vac Bivalent Intramuscular Suspension

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 19 hours, 9 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Bronze Premier + No Referrals Brand-Preferred None
AmeriHealth Caritas Next Silver Premier + No Referrals Brand-Preferred None
AmeriHealth Caritas Next Bronze Essential + No Referrals Brand-Preferred None
AmeriHealth Caritas Next Bronze Signature + No Referrals Brand-Preferred None
AmeriHealth Caritas Next Silver Signature + No Referrals Brand-Preferred None
AmeriHealth Caritas Next Gold Signature + No Referrals Brand-Preferred None
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Brand-Preferred None
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