glycopyrrolate/formoterol fumarate

9 mcg-4.8 mcg — Inhaler

PULMONARY-2 AGENTS

Also known as: BEVESPI AEROSPHERE
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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: Oct 1, 2026  ·  Checked: 2 hours, 2 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via Bevespi Aerosphere 		Non-Preferred — — — None
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