Wyost

Generic: denosumab-bbdz

70 MG

RANK Ligand Inhibitor

Also known as: denosumab-bbdz
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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.
Source: CMS QHP JSON  ·  Formulary date: Mar 18, 2026  ·  Checked: 19 hours, 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Longevity Health Plan (HMO I-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — — ✓ 1 per 180 days QL
Liberty Medicare Dual Plan (HMO D-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — ✓ ✓ 1 per 168 days ST | QL
Provider Partners North Carolina Essential Plan (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
Provider Partners North Carolina Advantage Plan (HMO I-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — — ✓ 2 per 365 days QL
Provider Partners North Carolina Community Plan (HMO I-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — — ✓ 2 per 365 days QL
Provider Partners North Carolina Essential Plan (HMO I-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — — ✓ 2 per 365 days QL
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — ✓ ✓ 1 per 168 days ST | QL
Longevity Health Plan (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
NHC Advantage (HMO I-SNP) Tier 1 - Preferred Generic ✓ — ✓ 1.7 per 28 days PA | QL
NHC Advantage (HMO I-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — ✓ ✓ 1 per 168 days ST | QL
PruittHealth Premier (HMO I-SNP) Tier 1 - Preferred Generic ✓ — ✓ 1.7 per 28 days PA | QL
PruittHealth Premier (HMO I-SNP)
via Jubbonti 		Tier 1 - Preferred Generic — ✓ ✓ 1 per 168 days ST | QL
Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP) Tier 1 - Preferred Generic ✓ — ✓ 1.7 per 28 days PA | QL
Liberty Medicare Dual Plan (HMO D-SNP) Tier 1 - Preferred Generic ✓ — ✓ 1.7 per 28 days PA | QL
Provider Partners North Carolina Advantage Plan (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
Provider Partners North Carolina Community Plan (HMO I-SNP) Tier 1 - Preferred Generic ✓ — — PA
Senior Care (HMO I-SNP)
via Jubbonti 		Tier 3 - Preferred Brand — ✓ ✓ 1 per 168 days ST | QL
Liberty Medicare Advantage (HMO C-SNP)
via Jubbonti 		Tier 3 - Preferred Brand — ✓ ✓ 1 per 168 days ST | QL
Troy Medicare (HMO)
via Jubbonti 		Tier 3 - Preferred Brand — — — None
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
via Jubbonti 		Tier 3 - Preferred Brand — — — None
AmeriHealth Caritas VIP Care (HMO D-SNP)
via Jubbonti 		Tier 3 - Preferred Brand — — ✓ 1 per 180 days QL
Blue Medicare Enhanced (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Blue Medicare Choice (HMO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Blue Medicare Essential (HMO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Experience Health Medicare Advantage (HMO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Healthy Blue + Medicare (HMO-POS D-SNP)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
AARP Medicare Advantage from UHC NC-0012 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0015 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
Alignment Health Platinum (HMO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Alignment Health NC Duals (HMO-POS D-SNP)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Alignment Health smartHMO (HMO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Alignment Health Platinum Select (HMO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Alignment Health Heart & Diabetes Care (HMO C-SNP)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Alignment Health AVA (PPO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
AARP Medicare Advantage from UHC NC-24 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-26 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
HealthTeam Advantage Plan I (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 2 per 365 days QL
HealthTeam Advantage Plan II (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 2 per 365 days QL
HealthTeam Advantage Vitality Plan (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 2 per 365 days QL
Erickson Advantage Signature (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 2 per 365 days QL
Erickson Advantage Guardian (HMO-POS I-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
Erickson Advantage Freedom (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
Erickson Advantage Liberty (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Dual Complete NC-S001 (PPO D-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Dual Complete NC-S2 (PPO D-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage Access from UHC NC-23 (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Complete Care NC-25 (HMO-POS C-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Complete Care NC-27 (HMO-POS C-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Complete Care NC-28 (HMO-POS C-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
Erickson Advantage Champion (HMO-POS C-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0001 (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0004 (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0016 (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0017 (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0019 (PPO)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0021 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0022 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0007 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0008 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0009 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
AARP Medicare Advantage from UHC NC-0011 (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred — — ✓ 1 per 180 days QL
Blue Medicare PPO Enhanced (PPO)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Blue Medicare Essential Plus (HMO-POS)
via Jubbonti 		Tier 4 - Non-Preferred ✓ — — PA
Blue Medicare Essential Plus (HMO-POS) Tier 5 - Specialty ✓ — — PA
Blue Medicare Enhanced (HMO-POS) Tier 5 - Specialty ✓ — — PA
Blue Medicare Choice (HMO) Tier 5 - Specialty ✓ — — PA
Blue Medicare Essential (HMO) Tier 5 - Specialty ✓ — — PA
Experience Health Medicare Advantage (HMO) Tier 5 - Specialty ✓ — — PA
Healthy Blue + Medicare (HMO-POS D-SNP) Tier 5 - Specialty ✓ — — PA
Alignment Health Platinum (HMO) Tier 5 - Specialty ✓ — — PA
Alignment Health NC Duals (HMO-POS D-SNP) Tier 5 - Specialty ✓ — — PA
Alignment Health smartHMO (HMO) Tier 5 - Specialty ✓ — — PA
Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) Tier 5 - Specialty ✓ — — PA
Alignment Health Platinum Select (HMO) Tier 5 - Specialty ✓ — — PA
Alignment Health Heart & Diabetes Care (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
Alignment Health AVA (PPO) Tier 5 - Specialty ✓ — — PA
HealthTeam Advantage Plan I (PPO) Tier 5 - Specialty ✓ — — PA
HealthTeam Advantage Plan II (PPO) Tier 5 - Specialty ✓ — — PA
HealthTeam Advantage Vitality Plan (PPO) Tier 5 - Specialty ✓ — — PA
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
Troy Medicare (HMO) Tier 5 - Specialty — — — None
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Tier 5 - Specialty — — — None
AmeriHealth Caritas VIP Care (HMO D-SNP) Tier 5 - Specialty — — — None
Senior Care (HMO I-SNP) Tier 5 - Specialty ✓ — ✓ 1.7 per 28 days PA | QL
DEVOTED CHOICE 008 NC (PPO) Tier 5 - Specialty ✓ — — PA
UHC Nursing Home Plan NC-F001 (PPO I-SNP) Tier 5 - Specialty — — — None
UHC Dual Complete NC-S001 (PPO D-SNP) Tier 5 - Specialty — — — None
UHC Dual Complete NC-S2 (PPO D-SNP) Tier 5 - Specialty — — — None
AARP Medicare Advantage Access from UHC NC-23 (PPO) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0001 (PPO) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0004 (PPO) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0016 (PPO) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0017 (PPO) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0019 (PPO) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0021 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0022 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0007 (HMO-POS) Tier 5 - Specialty — — — None
UHC Dual Complete NC-D001 (HMO-POS D-SNP) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0008 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0009 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0011 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0012 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS) Tier 5 - Specialty — — — None
UHC Dual Complete NC-V001 (HMO-POS D-SNP) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-0015 (HMO-POS) Tier 5 - Specialty — — — None
UHC Dual Complete NC-S3 (HMO-POS D-SNP) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-24 (HMO-POS) Tier 5 - Specialty — — — None
AARP Medicare Advantage from UHC NC-26 (HMO-POS) Tier 5 - Specialty — — — None
Erickson Advantage Signature (HMO-POS) Tier 5 - Specialty — — — None
Erickson Advantage Guardian (HMO-POS I-SNP) Tier 5 - Specialty — — — None
Erickson Advantage Freedom (HMO-POS) Tier 5 - Specialty — — — None
Erickson Advantage Liberty (HMO-POS) Tier 5 - Specialty — — — None
UHC Complete Care NC-25 (HMO-POS C-SNP) Tier 5 - Specialty — — — None
UHC Complete Care NC-27 (HMO-POS C-SNP) Tier 5 - Specialty — — — None
UHC Complete Care NC-28 (HMO-POS C-SNP) Tier 5 - Specialty — — — None
Erickson Advantage Champion (HMO-POS C-SNP) Tier 5 - Specialty — — — None
Aetna Medicare Signature (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Dual (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Value Plus (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Prime (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Care (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Full Dual Care (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (HMO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Enhanced (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Extra (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature Giveback (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Signature (PPO) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Chronic Care (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
Aetna Medicare Chronic Care Value (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL FULL 013 NC (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 014 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PLUS 015 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 016 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 017 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED C-SNP PREMIUM 018 NC (HMO C-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL PLUS 006 NC (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED DUAL 009 NC (HMO D-SNP) Tier 5 - Specialty ✓ — — PA
DEVOTED CORE 001 NC (HMO) Tier 5 - Specialty ✓ — — PA
DEVOTED GIVEBACK 002 NC (HMO) Tier 5 - Specialty ✓ — — PA
DEVOTED GIVEBACK 012 NC (HMO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 001 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 002 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 003 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 004 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE 005 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 006 NC (PPO) Tier 5 - Specialty ✓ — — PA
DEVOTED CHOICE GIVEBACK 009 NC (PPO) Tier 5 - Specialty ✓ — — PA
Liberty Medicare Advantage (HMO C-SNP) Tier 5 - Specialty ✓ — ✓ 1.7 per 28 days PA | QL
Blue Medicare PPO Enhanced (PPO) Tier 5 - Specialty ✓ — — PA
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 19 hours, 11 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Jubbonti 		Non-Preferred — — — None
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