inhaler, assist devices

Device

DEVICES

Also known as: AEROTRACH PLUS SPACER, INHALER SPACE CHAMBER BREATHERITE AEROCHAMBER Z-STAT PLUS AEROCHAMBER MECHANICAL VENT AEROVENT PLUS LITEAIRE RITEFLO AEROCHAMBER MINI VORTEX MICROCHAMBER BREATHRITE FLEXICHAMBER OPTICHAMBER DIAMOND PROCHAMBER ACE AEROSOL CLOUD ENHANCER AEROCHAMBER MV POCKET CHAMBER COMPACT SPACE CHAMBER MICROSPACER AEROCHAMBER2GO EASIVENT PRIMEAIRE AEROCHAMBER PLUS FLOW-VU

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 7, 2026  ·  Checked: 22 hours, 51 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze 7000 HSA Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Bronze 6500 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Bronze 5500 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver 5000 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver 3600 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver 3000 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Bronze CMS Standard
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver CMS Standard
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Gold CMS Standard
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect myDiabetesCare Bronze
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect myDiabetesCare Silver
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Gold 1500 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Bronze RD 5000 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Bronze RD 6000 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Bronze RD CMS Standard
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver RD 3500 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver RD 5000 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver RD CMS Standard
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Silver RD 2200 Indiv Med Deductible
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Connect Gold RD CMS Standard
via AEROCHAMBER2GO
Tier 3 - Preferred Brand — — ✓ QL
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 22 hours, 51 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary — — — None
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