Umeclidinium Ellipta

62.5 MCG — BLISTER, WITH INHALATION DEVICE

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Sep 23, 2026  ·  Checked: 6 hours, 21 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 2 - Brand Formulary — — ✓ INCRUSE ELLIPTA (PS 30) TO BE DISP AT MAX QTY OF 1 INH PER DISP AT RETAIL OR 3 INH AT MAIL QL Quantity limit
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