Formulary Lookup and Coverage Verification
COBENFY is COVERED for 98% of Medicare and Medicaid patients.*
9 out of 10 patients pay less than $10.†
84% of claims were
approved.‡
Our prescription coverage tool helps you verify if COBENFY is covered in your state.
See if your patients have insurance (commercial or government issued) coverage for COBENFY
Enter a ZIP code or select a state*
Please enter a valid ZIP code
Or
| Plan Name | Tier Status | Restrictions |
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Data is unavailable
Your Bristol Myers Squibb Patient Access Liaison (PAL) is a local, dedicated professional who can support you with navigating your patient’s access to COBENFY. Request a PAL through our Chatbot.
*Required field
NA=not available; PA=prior authorization; ST=step edit; QL=quantity limitations.
Please note that plans may have multiple formularies, and they are subject to change by the plan.
Please check with the health plan directly to confirm formulary status, requirements, and coverage information for individual patients.
Source: Fingertip Formulary database as of .
This information is intended only to show formulary coverage status for each product and should not be constructed to make any comparisons of safety, efficacy, or other clinical outcomes. The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any services or item. Bristol Myers Squibb does not endorse any individual health plans.
* Formulary data are provided by Fingertip Formulary Data and are current as of 06/25. Because formularies change and many payers offer more than one formulary, please check directly with the payer to confirm coverage requirements and status for individual patients. Coverage and benefits are subject to change without notice. The accurate completion of reimbursement or cover-related documentation is the responsibility of the healthcare provider and patient. Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item. Bristol Myers Squibb does not endorse any individual health plans.
† Out-of-pocket distribution data cost averages are provided by IQVIA FIA and include prescriptions filled among Commercial, Medicare, and Medicaid patients, latest 4 weeks ending 03/28/25, and reflects any financial assistance that was used. “Commercially Insured Patients” is inclusive of commercially insured patients eligible and receiving assistance through the Co-Pay Assistance Program. “Medicare and Medicaid Patients” are not eligible for the Co-Pay Assistance Program, but may be eligible for other forms of third-party co-pay assistance. Some patients may pay more than the cost listed above.
‡ Claims approval data are provided by IQVIA FIA and include prescriptions filled among Commercial, Medicare, and Medicaid patients, latest 4 weeks ending 3/28/25.