salsalate

500 MG — Tablet

Also known as: salsalate oral salsalate tabs 750mg Salsalate 500 Mg Tablet Salsalate 750 Mg Tablet

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: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Complete Gold Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options Tier 2 - Generic None
Everyday Bronze Tier 2 - Generic None
Elite Bronze Tier 2 - Generic None
Clear Silver with $0 Insulin Options Tier 2 - Generic None
Standard Expanded Bronze Tier 2 - Generic None
Standard Silver Tier 2 - Generic None
Standard Gold Tier 2 - Generic None
Everyday Bronze with Atrium Health Tier 2 - Generic None
Elite Bronze with Atrium Health Tier 2 - Generic None
Focused Silver with Atrium Health Tier 2 - Generic None
Complete Gold with Atrium Health Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health Tier 2 - Generic None
Standard Silver with Atrium Health Tier 2 - Generic None
Standard Gold with Atrium Health Tier 2 - Generic None
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental Tier 2 - Generic None
Complete Gold + Vision + Adult Dental Tier 2 - Generic None
Everyday Bronze + Vision + Adult Dental Tier 2 - Generic None
Elite Bronze + Vision + Adult Dental Tier 2 - Generic None
Everyday Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Elite Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Focused Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Complete Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Standard Expanded Bronze + Vision + Adult Dental Tier 2 - Generic None
Standard Silver + Vision + Adult Dental Tier 2 - Generic None
Standard Gold + Vision + Adult Dental Tier 2 - Generic None
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Standard Silver with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Standard Gold with Atrium Health + Vision + Adult Dental Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard Tier 2 - Generic None
Connect myDiabetesCare Bronze Tier 2 - Generic None
Connect Bronze 5500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 6000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 3500 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 2 - Generic None
Connect Silver 4400 Indiv Med Deductible Tier 2 - Generic None
Connect Silver RD 5000 Indiv Med Deductible Tier 2 - Generic None
Connect Silver 3000 Indiv Med Deductible Tier 2 - Generic None
Connect Bronze 6500 Indiv Med Deductible Tier 2 - Generic None
Connect Silver CMS Standard Tier 2 - Generic None
Connect Silver RD CMS Standard Tier 2 - Generic None
Connect Gold CMS Standard Tier 2 - Generic None
Connect Bronze RD CMS Standard Tier 2 - Generic None
Connect Gold RD CMS Standard Tier 2 - Generic None
Connect myDiabetesCare Silver Tier 2 - Generic None
Connect Silver RD 2200 Indiv Med Deductible Tier 2 - Generic None
Connect Gold 1500 Indiv Med Deductible Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 14 hours, 33 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
Source: PDF  ·  Formulary date: Jun 23, 2026  ·  Checked: 14 hours, 32 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
UHC Silver Standard (No Referrals) Tier 1 - Preferred Generic None
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 1 - Preferred Generic None
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) Tier 1 - Preferred Generic None
UHC Bronze Standard+ Dental + Vision (No Referrals) Tier 1 - Preferred Generic None
UHC Silver Value ($0 Virtual Urgent Care, No Referrals) Tier 1 - Preferred Generic None
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) Tier 1 - Preferred Generic None
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) Tier 1 - Preferred Generic None
UHC Gold Standard (No Referrals) Tier 1 - Preferred Generic None
UHC Bronze Standard (No Referrals) Tier 1 - Preferred Generic None
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) Tier 1 - Preferred Generic None
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) Tier 1 - Preferred Generic None
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) Tier 1 - Preferred Generic None
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals Tier 1 - Preferred Generic None
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