revefenacin

Generic: Yupelri

175 mcg/3 mL — Nebulizer Solution

Also known as: YUPELRI

Coverage by Insurer

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

Medicare Part D

14 plans

Source: CMS QHP JSON · Formulary date: Jun 10, 2026 · Checked: 13 hours, 38 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Provider Partners North Carolina Community Plan (HMO I-SNP) via Yupelri	Tier 1 - Preferred Generic	✓	—	✓ 90 per 30 days	PA \| QL
Provider Partners North Carolina Essential Plan (HMO I-SNP) via Yupelri	Tier 1 - Preferred Generic	✓	—	✓ 90 per 30 days	PA \| QL
Provider Partners North Carolina Advantage Plan (HMO I-SNP) via Yupelri	Tier 1 - Preferred Generic	✓	—	✓ 90 per 30 days	PA \| QL
HealthSpring TotalCare Plus (HMO D-SNP) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthSpring Preferred (HMO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthSpring Preferred Select (HMO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthSpring Preferred Savings (HMO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthSpring Preferred Plus (HMO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthTeam Advantage Plan I (PPO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthTeam Advantage Plan II (PPO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthTeam Advantage Vitality Plan (PPO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthSpring True Choice (PPO) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL
HealthSpring TotalCare (HMO D-SNP) via Yupelri	Tier 5 - Specialty	✓	—	✓ 90 per 30 days	PA \| QL

NC Medicaid PDL

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 13 hours, 38 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026 via Yupelri	Non-Preferred	—	—	—	None

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 13 hours, 38 minutes ago

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