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 commercial, Medicare Part D, or Medicaid plan or plans.
Source: Fingertip Formulary® Database. Apr 29, 2018.
Tier 1 = lowest co-pay; Tier 2 = middle-level co-pay (preferred); Tier 3-7 = higher-level co-pay (non-preferred); For Medicare Part D plans, 'Preferred - Tier 3' refers to the lowest co-pay 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 for 9 out of 10 Commercial and Medicare Part D 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 (Commercial, Employer, FEHBP, Fed Prog, HIX, Municipal Plan, PBM, Pvt HIX, Union, EGWP, Medicare PDP, Medi-Medi, Medicare MA, Medicare SN, PACE) at Tiers 1–7 in the nation, as calculated by Fingertip Formulary® as of 3/7/2019.
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