ustekinumab-aauz
Generic: Otulfi
45 mg/0.5 mL, 90 mg/mL — Vial
TARGETED IMMUNOMODULATORY BIOLOGICS
Also known as:
OTULFI
Ustekinumab-Aauz Sosy
USTEKINUMAB-AAUZ SOSY 45MG/0.5ML
USTEKINUMAB-AAUZ SOSY 45MG/0.5ML, 90MG/ML
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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
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| BCBS Federal Focus 2026 | Tier 2 - Preferred Brand | ✓ | — | — | PA |
| BCBS Federal Standard Option 2026 | Tier 4 - Preferred Specialty | ✓ | — | — | PA |
| BCBS Federal Basic Option 2026 | Tier 4 - Preferred Specialty | ✓ | — | — | PA |
Medicare Part D
26 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Longevity Health Plan (HMO I-SNP)
via Otulfi |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H6622-025 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H6622-026 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Dual Select H6622-027 (HMO-POS D-SNP)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H6622-057 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H6622-060 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H6622-061 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Choice H8145-004 (PFFS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H1036-137 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H1036-233 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Dual Select H1036-307 (HMO D-SNP)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus Giveback H1036-318 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Gold Plus H1036-335 (HMO-POS)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice Giveback H5216-017 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice H5216-211 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Full Access H5525-034 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice Giveback H5525-035 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice H5525-049 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice H5525-050 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice H5525-070 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Humana Dual Select H5525-072 (PPO D-SNP)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HumanaChoice H5525-083 (PPO)
via Otulfi |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
NC State Health Plan
6 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 80/20 Plus PPO 2026 | Not Covered | — | — | — | None |
| NC State Health Plan - 70/30 Standard PPO 2026 | Not Covered | — | — | — | None |
| NC State Health Plan - HDHP 2026 | Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Otulfi |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Otulfi |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Otulfi |
Not Covered | — | — | — | None |