spesolimab-sbzo
Generic: Spevigo
150 MG, 300 MG, 450 MG — Prefilled Syringe
TARGETED IMMUNOMODULATORY BIOLOGICS
Also known as:
SPEVIGO
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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.
Blue Cross Blue Shield Federal
2 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBS Federal Basic Option 2026
via Spevigo |
Tier 5 - Non-Preferred Specialty | ✓ | — | — | PA |
|
BCBS Federal Standard Option 2026
via Spevigo |
Tier 5 - Non-Preferred Specialty | ✓ | — | — | PA |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Local 2026
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Value 2026
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Advantage 2026
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Care 2026
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
Medicare Part D
7 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via Spevigo |
Tier 1 - Preferred Generic | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via Spevigo |
Tier 1 - Preferred Generic | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
Provider Partners North Carolina Community Plan (HMO I-SNP)
via Spevigo |
Tier 1 - Preferred Generic | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
HealthTeam Advantage Plan I (PPO)
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
HealthTeam Advantage Plan II (PPO)
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
|
HealthTeam Advantage Vitality Plan (PPO)
via Spevigo |
Tier 5 - Specialty | ✓ | — | ✓ 4 per 28 days | PA | QL |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 70/30 Standard PPO 2026
via Spevigo |
Tier 6 - Non-Preferred Brand Specialty | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - HDHP 2026
via Spevigo |
Tier 6 - Non-Preferred Brand Specialty | ✓ | — | ✓ | PA | QL |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Spevigo |
Tier 6 - Non-Preferred Brand Specialty | ✓ | — | ✓ | PA | QL |