umeclidinium-vilanterol aero powd ba 62.5-25 mcg/act

Generic: umeclidinium-vilanterol aero powd ba 62.5-25

25 mcg

(base equiv)

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: Apr 1, 2026  ·  Checked: 22 hours, 27 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Tier 2 - Non-Preferred Generic QL
NC State Health Plan - 70/30 Standard PPO 2026 Tier 2 - Non-Preferred Generic QL
NC State Health Plan - HDHP 2026 Tier 2 - Non-Preferred Generic QL
Something not right?