SYMBICORT Savings Program
Read about the SYMBICORT Savings Program.
Individual costs and benefit design may vary. Please consult with individual plans for specific information.
AstraZeneca does not endorse any individual, commercial, Medicare Part D, or Medicaid plan or plans.
Source: Fingertip Formulary® Database. Apr 29, 2018.
Tier 1 = lowest copay; Tier 2 = middle-level copay (preferred); Tier 3-7 = higher-level copay (non-preferred); For Medicare Part D plans, 'Preferred - Tier 3' refers to the lowest copay level for branded products; NC = not covered; NA = data not available; PA = prior authorization; QL = quantity limits; ST = step therapy; OR = other restrictions
SYMBICORT is covered without restrictions* for 3 out of 4 patients† nationwide1
*"Without Restrictions" means Tiers 1‐7 and the $0 Co‐pay Tier without prior authorizations or step therapy. Quantity limits may apply.
†"Patients" means covered lives on (Commercial, Commercial [BCBS], Employer, Fed Program, FEHBP, Municipal Plan, PBM, Union, EGWP, Medicare MA, Medicare PDP, Medicare SN, Medi-Medi, PACE) at Tiers 1-7 and the $0 Co-pay tier, in the region, as calculated by Fingertip Formulary® as of March 24, 2017.
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