ustekinumab-stba
Generic: Steqeyma
130 mg/26 mL, 45 mg/0.5 mL, 90 mg/mL — Prefilled Syringe
TARGETED IMMUNOMODULATORY BIOLOGICS
Also known as:
STEQEYMA
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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.
Ambetter (Centene)
29 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Everyday Bronze with Atrium Health
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver with Atrium Health + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold with Atrium Health + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Clear Silver with $0 Insulin Options
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze with Atrium Health
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Focused Silver with Atrium Health
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold with Atrium Health
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Expanded Bronze with Atrium Health
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Silver with Atrium Health
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Standard Gold with Atrium Health
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Complete Gold + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Everyday Bronze + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
|
Elite Bronze + Vision + Adult Dental
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ | PA | QL |
Blue Cross Blue Shield of NC
5 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Value 2026
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Advantage 2026
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Care 2026
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
|
BCBSNC Blue Local 2026
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ Restricted Access | PA | QL |
Medicare Part D
70 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via Steqeyma |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
PruittHealth Premier (HMO I-SNP)
via Steqeyma |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
NHC Advantage (HMO I-SNP)
via Steqeyma |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via Steqeyma |
Tier 1 - Preferred Generic | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Liberty Medicare Dual Plan (HMO D-SNP)
via Steqeyma |
Tier 1 - Preferred Generic | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Provider Partners North Carolina Community Plan (HMO I-SNP)
via Steqeyma |
Tier 1 - Preferred Generic | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via Steqeyma |
Tier 1 - Preferred Generic | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Troy Medicare (HMO)
via Steqeyma |
Tier 3 - Preferred Brand | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via Steqeyma |
Tier 3 - Preferred Brand | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
AmeriHealth Caritas VIP Care (HMO D-SNP)
via Steqeyma |
Tier 3 - Preferred Brand | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Alignment Health Platinum (HMO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Alignment Health NC Duals (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Alignment Health smartHMO (HMO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Alignment Health Platinum Select (HMO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Alignment Health AVA (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Plan I (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Plan II (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Vitality Plan (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Wellcare Dual Liberty Open (PPO D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Wellcare Assist Open (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Wellcare Dual Access (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Wellcare Dual Liberty (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Wellcare Dual Reserve (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Senior Care (HMO I-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Dual Complete NC-S001 (PPO D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Dual Complete NC-S2 (PPO D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0001 (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0004 (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0016 (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0017 (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0019 (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Erickson Advantage Signature (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Erickson Advantage Guardian (HMO-POS I-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Erickson Advantage Freedom (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Erickson Advantage Liberty (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Complete Care NC-25 (HMO-POS C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Complete Care NC-27 (HMO-POS C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
UHC Complete Care NC-28 (HMO-POS C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Erickson Advantage Champion (HMO-POS C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Liberty Medicare Advantage (HMO C-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Wellcare Simple Open (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Wellcare Simple (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Wellcare Giveback Open (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 1 per 28 days | PA | QL |
|
Blue Medicare PPO Enhanced (PPO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Blue Medicare Essential Plus (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Blue Medicare Enhanced (HMO-POS)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Blue Medicare Choice (HMO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Blue Medicare Essential (HMO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Experience Health Medicare Advantage (HMO)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 days | PA | QL |
|
Healthy Blue + Medicare (HMO-POS D-SNP)
via Steqeyma |
Tier 5 - Specialty | ✓ | — | ✓ 3 per 84 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 - HDHP 2026
via Steqeyma |
Not Covered | — | — | — | None |
|
NC State Health Plan - 70/30 Standard PPO 2026
via Steqeyma |
Not Covered | — | — | — | None |
|
NC State Health Plan - 80/20 Plus PPO 2026
via Steqeyma |
Not Covered | — | — | — | None |