Starjemza

Generic: ustekinumab-hmny

45MG/0.5ML, 90MG — Solution

Interleukin-12 Antagonist

Also known as: STARJEMZA SOLN 45MG/0.5ML; SOSY 90MG/ML ustekinumab-hmny Starjemza Vial biosimilar to Stelara Starjemza Sosy STARJEMZA SOSY 45MG/0.5ML, 90MG/ML STARJEMZA SOLN 130MG/26ML

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  ·  Formulary date: Mar 18, 2026  ·  Checked: 17 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NHC Advantage (HMO I-SNP) Tier 1 - Preferred Generic 1 per 28 days PA | QL
Liberty Medicare Dual Plan (HMO D-SNP) Tier 1 - Preferred Generic 1 per 28 days PA | QL
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) Tier 1 - Preferred Generic 1 per 28 days PA | QL
PruittHealth Premier (HMO I-SNP) Tier 1 - Preferred Generic 1 per 28 days PA | QL
Senior Care (HMO I-SNP) Tier 4 - Non-Preferred 1 per 28 days PA | QL
Liberty Medicare Advantage (HMO C-SNP) Tier 4 - Non-Preferred 1 per 28 days PA | QL
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Preferred PA | ST
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 17 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 17 hours, 28 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via ustekinumab-hmny
Tier 3 - Non-Formulary PA
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