Qnasl Children

Generic: beclomethasone dipropionate

40 MCG — Inhaler

NASAL ALLERGY AGENTS

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  ·  Formulary date: Jan 1, 2026  ·  Checked: 8 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Everyday Bronze
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Elite Bronze
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Clear Silver with $0 Insulin Options
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Expanded Bronze
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Silver
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Gold
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Elite Bronze with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Focused Silver with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Complete Gold with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Expanded Bronze with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Silver with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Gold with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Complete Gold + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Everyday Bronze + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Elite Bronze + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Everyday Bronze with Atrium Health + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Elite Bronze with Atrium Health + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Focused Silver with Atrium Health + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Complete Gold with Atrium Health + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Expanded Bronze + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Silver + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Gold + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Silver with Atrium Health + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Signature Gold with Atrium Health + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Streamlined Silver with Atrium Health
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Streamlined Silver
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Enhanced CHF Heart Care Silver $0 Rx Options
via beclomethasone dipropionate
Tier 2 - Generic — — — None
Source: PDF  ·  Formulary date: Oct 1, 2026  ·  Checked: 8 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026
via beclomethasone dipropionate
Non-Preferred — — — None
Source: Excel (XLSX)  ·  Formulary date: Sep 23, 2026  ·  Checked: 8 hours, 53 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via beclomethasone dipropionate
Tier 3 - Non-Formulary — — ✓ QVAR/REDIHALER TO BE DISP AT MAX QTY OF 1 UNIT PER DISP AT RTL OR 3 UNITS AT MAIL QL Quantity limit
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary — ✓ ✓ QNASL CHILDRENS 40MCG SPRAY LTD TO A MAX QTY OF 1 UNIT PER DISPENSING AT RETAIL OR 3 UNITS AT MAIL ST | QL Step therapy: SEL ANTIHISTAMINE/STEROIDS NS PT >4 W/O OR W/O ASTELIN,ATROVENT,FLONASE,FLUNISOLIDE NS IN 180D REQPA; Quantity limit
TRICARE Uniform Formulary 2026
via Qnasl
Tier 3 - Non-Formulary — ✓ ✓ QNASL LTD TO A MAX QTY OF 1 CANISTER PER DISPENSING AT RETAIL OR 3 CANISTERS AT MAIL ST | QL Step therapy: SEL ANTIHISTAMINE/STEROIDS NS PT >4 W/O OR W/O ASTELIN,ATROVENT,FLONASE,FLUNISOLIDE NS IN 180D REQPA; Quantity limit
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