ustekinumab-hmny
Generic: Starjemza
45 mg/0.5 mL, 90 mg/mL — Prefilled Syringe
TARGETED IMMUNOMODULATORY BIOLOGICS
Also known as:
STARJEMZA
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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
9 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Liberty Medicare Dual Plan (HMO D-SNP)
via Starjemza |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
NHC Advantage (HMO I-SNP)
via Starjemza |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
PruittHealth Premier (HMO I-SNP)
via Starjemza |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via Starjemza |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Troy Medicare (HMO)
via Starjemza |
Tier 3 - Preferred Brand | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
AmeriHealth Caritas VIP Care (HMO D-SNP)
via Starjemza |
Tier 3 - Preferred Brand | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via Starjemza |
Tier 3 - Preferred Brand | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Senior Care (HMO I-SNP)
via Starjemza |
Tier 4 - Non-Preferred | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Liberty Medicare Advantage (HMO C-SNP)
via Starjemza |
Tier 4 - Non-Preferred | ✓ | — | ✓ 1 per 28 days | PA | QL |
NC Medicaid PDL
1 planNC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
NC State Health Plan - 70/30 Standard PPO 2026
via Starjemza |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Starjemza |
Not Covered | — | — | — | None |
|
NC State Health Plan - HDHP 2026
via Starjemza |
Not Covered | — | — | — | None |