Combivent Respimat Inhalation

100 MCG — Spray

Orally Inhaled Anticholinergics / Copd Agents

Also known as: Combivent Respimat Inhalation Aerosol Solution

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 20 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace Low + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Silver Essential + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Gold Premier + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 4 - Non-Preferred QL
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 4 - Non-Preferred QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 20 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Preferred None
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