Skyrizi On-body

180 MG/1.2, 360 MG/2.4 — WEARABLE INJECTOR

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

1 plan

Source: Excel (XLSX) · Formulary date: Sep 23, 2026 · Checked: 8 hours ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 2 - Brand Formulary	—	✓	—	ST Step therapy: SUBCUTANEOUS SKYRIZI ON-BODY W/O PRIOR USE IN THE LAST 720 DAYS REQ PA