ustekinumab-auub
Generic: Wezlana
45 mg/0.5 mL, 90 mg/mL — Vial
TARGETED IMMUNOMODULATORY BIOLOGICS
Also known as:
WEZLANA
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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.
Medicare Part D
7 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via Wezlana |
Tier 1 - Preferred Generic | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via Wezlana |
Tier 1 - Preferred Generic | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Provider Partners North Carolina Community Plan (HMO I-SNP)
via Wezlana |
Tier 1 - Preferred Generic | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Plan II (PPO)
via Wezlana |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Plan I (PPO)
via Wezlana |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Vitality Plan (PPO)
via Wezlana |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via Wezlana |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 80/20 Plus PPO 2026
via Wezlana |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Wezlana |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Wezlana |
Not Covered | — | — | — | None |