Serevent Diskus

Generic: salmeterol xinafoate

50 MCG

COUGH/COLD/ALLERGY

GoodRx Compare Prices

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 16 hours, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBSNC Blue Value 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Advantage 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Home with UNC Health Alliance 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Local 2026 Tier 3 - High Cost Brand — — ✓ QL
BCBSNC Blue Care 2026 Tier 3 - High Cost Brand — — ✓ QL
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 16 hours, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze RD CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Gold RD CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect myDiabetesCare Silver Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD 2200 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Gold 1500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect myDiabetesCare Bronze Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze 5500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze RD 6000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver 3500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD 3500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze 7000 HSA Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver 4400 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD 5000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver 3000 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Bronze 6500 Indiv Med Deductible Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Silver RD CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Connect Gold CMS Standard Tier 4 - Non-Preferred — ✓ ✓ ST | QL
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 16 hours, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC Medicaid Preferred Drug List 2026 Preferred — — — None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 16 hours, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via salmeterol xinafoate 		Tier 1 - Basic Core Formulary — — ✓ QL
Something not right?