asenapine maleate sl

2.5 mg, 5 mg, 10 mg — Tablet

ANTIPSYCHOTICS

Also known as: asenapine maleate sl tab 2.5 mg (base equiv), 5 mg (base equiv), 10 mg (base equiv)

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Advantage 2026
via Saphris
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Home with UNC Health Alliance 2026
via Saphris
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Local 2026
via Saphris
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Care 2026
via Saphris
Tier 2 - Medium Cost Generic/Brand QL
BCBSNC Blue Value 2026
via Saphris
Tier 2 - Medium Cost Generic/Brand QL
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