Does Blue Beaufort Standard Expanded Bronze cover pembrolizumab / berahyaluronidase alfa?
Blue Beaufort Standard Expanded Bronze
26065-26065SC0740007-0 · ACA · ACA Marketplace
pembrolizumab / berahyaluronidase alfa
pembrolizumab / berahyaluronidase alfaunder Blue Beaufort Standard Expanded Bronze
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
- Tier
- Non preferred brand specialty
- Approval first
- Required
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.
Covered forms and strengths (2)
- 2.4 ML berahyaluronidase alfa-pmph 2000 UNT/ML / pembrolizumab-pmph 165 MG/ML Injection [Keytruda Qlex]Approval first
- 4.8 ML berahyaluronidase alfa-pmph 2000 UNT/ML / pembrolizumab-pmph 165 MG/ML Injection [Keytruda Qlex]Approval first