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Cigna Healthcare Adds Accord BioPharma's IMULDOSA Biosimilar to Preferred Coverage Plans

Cigna Healthcare now covers IMULDOSA (ustekinumab-srlf), Accord BioPharma's biosimilar to STELARA, under commercial plans effective April 15, 2026.

Prof. Marcus Webb MPharm, PhD · UK Pharma Policy Analyst
Reviewed by Dr. Sarah Chen Pharmaceutical Sciences Editor

Intelligence Snapshot

Impact Score 80/100 High significance
Regulatory Impact 60/100 Moderate agency relevance
Market Impact 49/100 Limited commercial pull
Clinical Relevance 60/100 Moderate clinical weight
Evidence Strength 71/100 Moderate source quality
Confidence Score 68/100 Moderate certainty
Reading Time 2 min Executive read
Relevant for Pharma BD Regulatory Affairs

Executive Summary

Cigna Healthcare added IMULDOSA (ustekinumab-srlf) to preferred coverage under commercial plans effective April 15, 2026

Key Insights

  1. Prefilled syringes are preferred under pharmacy benefit while vials are preferred under…

    Prefilled syringes are preferred under pharmacy benefit while vials are preferred under medical benefit coverage

  2. The biosimilar provides patients with a potentially more affordable alternative to…

    The biosimilar provides patients with a potentially more affordable alternative to STELARA for treating moderate to severe plaque psoriasis

Market Impact

Regulatory medium
Commercial medium
Competitive low
Investment low

Executive Scorecard

Heuristic scores · directional, not investment advice
Regulatory Readiness 60
Commercial Opportunity 60
Competitive Threat 38
Clinical Significance 64
Evidence Strength 71
Contents5 sections

Key Takeaways

  • Cigna Healthcare added IMULDOSA (ustekinumab-srlf) to preferred coverage under commercial plans effective April 15, 2026
  • Prefilled syringes are preferred under pharmacy benefit while vials are preferred under medical benefit coverage
  • The biosimilar provides patients with a potentially more affordable alternative to STELARA for treating moderate to severe plaque psoriasis

Accord BioPharma announced that Cigna Healthcare has added IMULDOSA® (ustekinumab-srlf) to its preferred coverage under commercial health plans, effective April 15, 2026.

The Raleigh, North Carolina-based company, which operates as the U.S. specialty division of Intas Pharmaceuticals Ltd., confirmed that the biosimilar will be covered with different preferences based on formulation. Prefilled syringes (PFS) receive preferred status under pharmacy benefits, while vials are preferred under medical benefits.

About IMULDOSA Biosimilar

IMULDOSA serves as a biosimilar alternative to STELARA® (ustekinumab), approved for treating moderate to severe plaque psoriasis. The addition to Cigna’s formulary represents a significant step in expanding patient access to this immunology treatment option.

Accord BioPharma specializes in developing oncology and immunology therapies, positioning itself as a key player in the biosimilar market. The company’s focus on specialty therapeutics aligns with growing demand for cost-effective alternatives to branded biologics.

IntelligenceRegulatory Impact

EMA and MHRA are the agencies to watch. Regulatory relevance reads medium for pharmaceutical intelligence. Teams should track submission types, designations, and guidance shifts that could move approval timelines.

Market Impact and Patient Access

The inclusion of IMULDOSA in Cigna’s preferred coverage could significantly impact treatment accessibility for patients with moderate to severe plaque psoriasis. Biosimilars typically offer cost savings compared to reference products, potentially reducing both patient out-of-pocket expenses and overall healthcare costs.

Cigna Healthcare’s decision to differentiate coverage preferences between formulations reflects the insurer’s strategy to optimize both patient convenience and cost management. The pharmacy benefit preference for prefilled syringes may encourage patient self-administration, while medical benefit preference for vials supports clinical administration settings.

This coverage expansion comes as the biosimilar market continues growing, with healthcare payers increasingly recognizing these products as viable alternatives to expensive branded biologics. For Accord BioPharma, securing preferred status with a major insurer like Cigna represents a competitive advantage in the crowded immunology therapeutics space.


Frequently Asked Questions

What does this mean for patients taking STELARA?

Patients covered by Cigna Healthcare commercial plans now have access to IMULDOSA as a preferred biosimilar alternative to STELARA, potentially reducing their out-of-pocket costs for psoriasis treatment.

When did the Cigna coverage for IMULDOSA become effective?

The preferred coverage for IMULDOSA under Cigna Healthcare commercial plans became effective on April 15, 2026.

How does IMULDOSA compare to STELARA?

IMULDOSA is a biosimilar to STELARA (ustekinumab), meaning it has demonstrated similar safety and efficacy for treating moderate to severe plaque psoriasis while typically offering cost advantages.

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Evidence & Review
Evidence strength
71/100
Last verified
Jun 15, 2026
AI-assisted review
Yes
Editorial review
Dr. Sarah Chen

Moderate source quality · grounded in cited primary and secondary sources.

This article follows our editorial standards. Report a correction via editorial contact.

Cigna Healthcare Adds Accord BioPharma's IMULDOSA Biosimilar to Preferred Coverage Plans