asenapine SL

Tablet

Also known as: Saphris SL

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

2 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 1 hour, 20 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Preferred	—	✓	—	ST
NC Medicaid Preferred Drug List 2026 via Saphris SL	Non-Preferred	—	✓	—	ST