{"id":633563,"date":"2025-09-16T10:11:57","date_gmt":"2025-09-16T14:11:57","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633563"},"modified":"2026-06-03T17:05:13","modified_gmt":"2026-06-03T21:05:13","slug":"does-aetna-cover-symbicort","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-aetna-cover-symbicort\/","title":{"rendered":"Does Aetna cover Symbicort?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/symbicort\"><span style=\"font-weight: 400;\">Symbicort<\/span><\/a><span style=\"font-weight: 400;\"> is an FDA-approved inhaler used to treat <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/asthma-treatment-and-medications\"><span style=\"font-weight: 400;\">asthma<\/span><\/a><span style=\"font-weight: 400;\"> in adults and children six years and older, as well as chronic obstructive pulmonary disease (<\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/copd-treatment-and-medications\"><span style=\"font-weight: 400;\">COPD<\/span><\/a><span style=\"font-weight: 400;\">) in adults. Symbicort usually isn\u2019t covered by most Aetna plans. Instead, the generic versions, budesonide-formoterol and Breyna, are preferred. Coverage will depend on the plan, with some requiring prior authorization or setting other limits on brand-name Symbicort.<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Symbicort with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tSymbicort 160-4.5 mcg\/act (10.2 gm inhaler)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-cvs.svg\" alt=\"CVS Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$173.51<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/symbicort#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/symbicort#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/walgreens-logo.svg\" alt=\"Walgreens\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$207.94<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/symbicort#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/symbicort#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/symbicort#blog-cta\" class=\"coupon-see-all-btn\">See Symbicort prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"does-aetna-cover-symbicort\"><span style=\"font-weight: 400;\">Does Aetna cover Symbicort?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Typically, Aetna will not cover brand-name Symbicort, but the good news is that most plans should cover generic versions of this drug.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symbicort is a brand-name drug. The first generics of this drug were <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/symbicort-generic-fda-approval\/\"><span style=\"font-weight: 400;\">approved in 2022<\/span><\/a><span style=\"font-weight: 400;\"> and are now widely available. Because of this, Aetna typically does not cover brand-name Symbicort but will cover generic <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/budesonide-formoterol-fumarate\"><span style=\"font-weight: 400;\">budesonide-formoterol<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/breyna\"><span style=\"font-weight: 400;\">Breyna<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We checked some Aetna <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-a-formulary\/\"><span style=\"font-weight: 400;\">formularies<\/span><\/a><span style=\"font-weight: 400;\"> (list of covered drugs) for coverage of brand-name Symbicort versus generic versions and discovered the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/fm.formularynavigator.com\/FBO\/41\/2026_Aetna_Standard_Plan.pdf\"><span style=\"font-weight: 400;\">2026 Aetna Standard Plan<\/span><\/a><span style=\"font-weight: 400;\"> lists Symbicort as a non-formulary drug, meaning it is not covered unless an exception request is granted. Breyna and other generic budesonide-formoterol products are listed as covered generics on this plan.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For this same Aetna Standard Plan, there is a published <\/span><a href=\"https:\/\/www.aetna.com\/content\/dam\/aetna\/pdfs\/aetnacom\/individuals-families-health-insurance\/document-library\/pharmacy\/2026-exclusion-drug-list-aetna-standard-plan.pdf\"><span style=\"font-weight: 400;\">2026 Formulary Exclusions Drug List<\/span><\/a><span style=\"font-weight: 400;\">. On this list, brand-name Symbicort is listed as a non-covered drug, with preferred alternatives Breyna, generic budesonide-formoterol, Wixela Inhub, fluticasone-salmeterol, and Breo Ellipta.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If you have Medicare prescription coverage, you can use the <\/span><a href=\"https:\/\/www.aetna.com\/medicare\/prescription-drugs\/check-medicare-drug-list.html\"><span style=\"font-weight: 400;\">plan finder search function<\/span><\/a><span style=\"font-weight: 400;\"> to see that brand-name Symbicort is not covered, while generics are covered in most cases.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aetna Medicaid plans will vary by state; however, you can expect coverage to be similar to other Aetna plans. For example, <\/span><a href=\"https:\/\/ch.aetnabetterhealth.com\/content\/dam\/aetna\/medicaid\/pdfs\/formulary\/ABH_New_Jersey_Formulary_.pdf\"><span style=\"font-weight: 400;\">Aetna Better Health of New Jersey<\/span><\/a><span style=\"font-weight: 400;\"> does not list brand-name Symbicort on its formulary, but it does list generic versions.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Although many Aetna plans cover generic Symbicort instead of brand-name Symbicort, there is significant variation between plans. The only way to know for sure whether your specific Aetna plan covers Symbicort is to contact your plan directly for more information.\u00a0<\/span><\/p>\n<h2 id=\"how-much-does-generic-symbicort-cost\"><span style=\"font-weight: 400;\">How much does generic Symbicort cost?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Without insurance or discounts, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/symbicort-generic\/\"><span style=\"font-weight: 400;\">generic Symbicort<\/span><\/a><span style=\"font-weight: 400;\"> can cost around $527 on average, though prices vary by pharmacy. If you choose generic Symbicort and use a SingleCare discount card, you could pay as little as $156 per month.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Brand-name Symbicort costs about $492 for one 10.2-gram inhaler (160-4.5 mcg\/actuation). However, you can use a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/symbicort\"><span style=\"font-weight: 400;\">SingleCare Symbicort coupon<\/span><\/a><span style=\"font-weight: 400;\"> to pay as low as $227 for a brand-name Symbicort inhaler.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">SingleCare is accepted at over <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/singlecare-pharmacy-savings-card-accepted\/\"><span style=\"font-weight: 400;\">35,000 pharmacies<\/span><\/a><span style=\"font-weight: 400;\"> in the U.S. and Puerto Rico. You can use the discount on your initial prescription and on refills.\u00a0<\/span><\/p>\n<h2 id=\"how-much-does-symbicort-cost-with-aetna\"><span style=\"font-weight: 400;\">How much does Symbicort cost with Aetna?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Your out-of-pocket costs will vary by plan. As mentioned above, many Aetna plans do not cover brand-name Symbicort. However, if you fill your prescription with a generic version of Symbicort, you&#8217;ll likely pay a generic copay, which is often much lower than the brand-name price.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your total costs are also affected by other factors, such as whether you met your deductible, or if you have Medicare Part D, which phase of coverage you are in. The best way to get an accurate estimate is to contact Aetna member services or your pharmacy.<\/span><\/p>\n<h2 id=\"how-to-check-whether-your-aetna-plan-covers-symbicort\"><span style=\"font-weight: 400;\">How to check whether your Aetna plan covers Symbicort\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Because Symbicort coverage depends on your specific Aetna plan, you\u2019ll want to verify coverage by looking up your plan\u2019s formulary. You can do this by:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Visiting the Aetna website and logging in or registering to find drug coverage information specific to your plan.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calling the member services phone number on your ID card for more information. If you call, have your member ID card handy, since the representative will ask for your ID and group number.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Having your healthcare provider send the prescription to your preferred pharmacy. The pharmacy staff will process the prescription and tell you right away whether the drug is covered, not covered, or requires <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/prior-authorization\/\"><span style=\"font-weight: 400;\">prior authorization<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"what-to-do-if-aetna-won-t-cover-symbicort\"><span style=\"font-weight: 400;\">What to do if Aetna won\u2019t cover Symbicort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If your Aetna plan won\u2019t cover Symbicort, you still have other options. Many people do well with switching to a generic version. However, if you need the brand-name version for a valid medical reason, your healthcare provider can submit a prior authorization or an exception request. If the request is denied, you can appeal it. Your healthcare provider may also recommend a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/symbicort-alternatives\/\"><span style=\"font-weight: 400;\">Symbicort alternative<\/span><\/a><span style=\"font-weight: 400;\">, such as fluticasone-salmeterol (Advair, Wixela Inhub), Breo Ellipta, or Dulera, which may be covered at a lower cost.<\/span><\/p>\n<h2 id=\"how-to-save-on-symbicort\"><span style=\"font-weight: 400;\">How to save on Symbicort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">One of the best ways to save money on your prescription drugs is by using a free <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare prescription discount card<\/span><\/a><span style=\"font-weight: 400;\"> or the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/use-singlecare-app\/\"><span style=\"font-weight: 400;\">SingleCare app<\/span><\/a><span style=\"font-weight: 400;\">. You can use your discount at a participating pharmacy every month to save up to around $336 on brand-name Symbicort or up to $371 on generic versions.\u00a0<\/span><\/p>\n<p><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/resources\/copd\"><b>Save on COPD inhalers<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Here are some other <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/symbicort-savings\/\"><span style=\"font-weight: 400;\">ways to save on Symbicort<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Call different pharmacies in your area to ask about the prices of generic versions of Symbicort. You can also ask about the price difference between a one-month and a three-month supply, since some pharmacies may charge less when you purchase a larger quantity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ask your healthcare provider or pharmacist if they know of any local resources in your area, such as health departments or clinics that may offer discounted or free medicines.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Talk to your prescriber about manufacturer savings programs or patient assistance programs that may be available for your specific inhaler.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If your Symbicort, or generic Symbicort, is still costly, talk to your healthcare provider about <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/symbicort-alternatives\/\"><span style=\"font-weight: 400;\">Symbicort alternatives<\/span><\/a><span style=\"font-weight: 400;\"> that are just as effective and may cost less with your insurance plan.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Symbicort is an FDA-approved inhaler used to treat asthma in adults and children six years and older, as well as chronic obstructive pulmonary disease (COPD) in adults. Symbicort usually isn\u2019t covered by most Aetna plans. Instead, the generic versions, budesonide-formoterol and Breyna, are preferred. Coverage will depend on the plan, with some requiring prior authorization [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":633564,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[10965,20946,608],"coauthors":[10668],"class_list":["post-633563","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-asthma","tag-copd","tag-health-insurance","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does Aetna cover Symbicort?<\/title>\n<meta name=\"description\" content=\"We researched which Aetna plans cover Symbicort and found that Aetna is more likely to cover generic budesonide-formoterol or Breyna.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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