Ohtuvayre

Generic: ensifentrine

3MG/2.5ML — Suspension

Also known as: ensifentrine OHTUVAYRE SUSP 3MG/2.5ML

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: 13 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Standard Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None
BCBS Federal Basic Option 2026	Tier 3 - Non-Preferred Brand	—	—	—	None

7 plans

Source: CMS QHP JSON · Formulary date: Mar 18, 2026 · Checked: 13 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
HealthSpring TotalCare (HMO D-SNP)	Tier 5 - Specialty	✓	—	✓ 150 per 30 days	PA \| QL
HealthSpring TotalCare Plus (HMO D-SNP)	Tier 5 - Specialty	✓	—	✓ 150 per 30 days	PA \| QL
HealthSpring Preferred (HMO)	Tier 5 - Specialty	✓	—	✓ 150 per 30 days	PA \| QL
HealthSpring Preferred Select (HMO)	Tier 5 - Specialty	✓	—	✓ 150 per 30 days	PA \| QL
HealthSpring Preferred Savings (HMO)	Tier 5 - Specialty	✓	—	✓ 150 per 30 days	PA \| QL
HealthSpring Preferred Plus (HMO)	Tier 5 - Specialty	✓	—	✓ 150 per 30 days	PA \| QL
HealthSpring True Choice (PPO)	Tier 5 - Specialty	✓	—	✓ 150 per 30 days	PA \| QL

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 13 hours, 24 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via ensifentrine	Tier 3 - Non-Formulary	✓	—	—	PA