inhaler,assist

Device

Also known as: COMPACT SPACE CHAMBER SPACE CHAMBER-SMALL MASK VORTEX VHC LADYBUG MASK OPTICHAMBER DIAMOND AEROCHAMBER PLUS FLOW-VU AEROCHAMBER Z-STAT PLUS PRO COMFORT SPACER WITH MASK CLEVER CHOICE HOLDING CHAMBER BREATHERITE SPACER-NEONATE MSK BREATHERITE SPACER-SM CHLD MSK BREATHERITE SPACER-INFANT MASK VORTEX VHC PEDIATRIC MASK PROCARE SPACER WITH CHILD MASK VORTEX VHC FROG MASK BREATHERITE SPACER-LG CHLD MSK SPACE CHAMBER-MEDIUM MASK PURE COMFORT SPACER WITH MASK BREATHERITE SPACER-ADULT MASK PROCARE SPACER WITH ADULT MASK SPACE CHAMBER-LARGE MASK inhaler,assist device with small mask inhaler,assist device with medium mask inhaler,assist device with large mask

Compare Prices

Coverage by Insurer

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

Cigna

60 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 21 hours, 35 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Connect Bronze CMS Standard via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect myDiabetesCare Silver via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 2200 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold 1500 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect myDiabetesCare Bronze via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 5500 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD 6000 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 3500 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD 5000 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 3500 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 7000 HSA Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 4400 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 5000 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 3000 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 6500 Indiv Med Deductible via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect myDiabetesCare Silver via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 2200 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold 1500 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect myDiabetesCare Bronze via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 5500 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD 6000 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 3500 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD 5000 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 3500 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 7000 HSA Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 4400 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 5000 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 3000 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 6500 Indiv Med Deductible via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect myDiabetesCare Silver via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 2200 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold 1500 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect myDiabetesCare Bronze via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 5500 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD 6000 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 3500 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD 5000 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 3500 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 7000 HSA Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 4400 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD 5000 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver 3000 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze 6500 Indiv Med Deductible via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver CMS Standard via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD CMS Standard via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold CMS Standard via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD CMS Standard via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold RD CMS Standard via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze CMS Standard via BREATHERITE SPACER-LG CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver CMS Standard via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD CMS Standard via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold CMS Standard via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD CMS Standard via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold RD CMS Standard via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze CMS Standard via BREATHERITE SPACER-NEONATE MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver CMS Standard via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Silver RD CMS Standard via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold CMS Standard via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Bronze RD CMS Standard via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL
Connect Gold RD CMS Standard via BREATHERITE SPACER-SM CHLD MSK	Tier 3 - Preferred Brand	—	—	✓	QL

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 21 hours, 35 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 1 - Basic Core Formulary	—	—	—	None