Maintenance inhalers for COPD and asthma on every 2026 Pennsylvania Part D plan
Pick a drug class, or type the drugs you want to check, and see which of the 12 stand-alone Part D plans in Pennsylvania cover each one, on what tier, and with what restrictions.
- Covered
- Covered, needs prior authorization (PA) or step therapy (ST)
- Not on the formulary
- QL 60/30d = quantity limit, 60 units per 30 days
12 plans, cheapest premium first. Scroll sideways for all of them →
| Drug | Humana Basic Rx Plan$6.60/moS5884-104 | Wellcare Value Script$8.20/moS4802-141 | Wellcare Classic$14.70/moS4802-080 | Humana Value Rx Plan$19.40/moS5884-185 | SilverScript Choice$22.70/moS5601-012 | AARP Medicare Rx Saver from UHC$43.50/moS5921-351 | HealthSpring Extra Rx$62.60/moS5617-356 | HealthSpring Assurance Rx$74.00/moS5617-215 | AARP Medicare Rx Preferred from UHC$121.90/moS5921-388 | Humana Premier Rx Plan$123.60/moS5884-152 | Blue Rx PDP Complete$164.80/moS5593-003 | Blue Rx PDP Plus$193.20/moS5593-002 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Trelegy Elliptafluticasone/umeclidinium/vilanterol | Tier 325%QL 60/30d | Tier 325%QL 60/30d | Tier 325%QL 60/30d | Tier 320%QL 60/30d | Tier 319%QL 60/30d | Tier 316%QL 60/30d | Tier 317%QL 60/30d | Tier 321%QL 60/30d | Tier 316%QL 60/30d | Tier 3$45.00QL 60/30d | Tier 325%QL 60/30d | Tier 325%QL 60/30d |
| Breztri Aerospherebudesonide/glycopyrrolate/formoterol | Tier 325%QL 10.7/30d | Tier 325%QL 10.7/30d | Tier 325%QL 10.7/30d | Tier 320%QL 10.7/30d | Tier 319%QL 10.7/30d | Not covered | Not covered | Not covered | Tier 316%QL 10.7/30d | Tier 3$45.00QL 10.7/30d | Tier 325%QL 10.7/30d | Tier 325%QL 10.7/30d |
| Anoro Elliptaumeclidinium/vilanterol | Not covered | Tier 325%QL 60/30d | Tier 325%QL 60/30d | Not covered | Tier 319%QL 60/30d | Tier 316%QL 60/30d | Tier 317%QL 60/30d | Tier 321%QL 60/30d | Tier 316%QL 60/30d | Not covered | Tier 325%QL 60/30d | Tier 325%QL 60/30d |
| Stiolto Respimattiotropium/olodaterol | Tier 325%QL 4/28d | Not covered | Not covered | Tier 320%QL 4/28d | Not covered | Tier 316%QL 4/30d | Not covered | Not covered | Tier 316%QL 4/30d | Tier 3$45.00QL 4/28d | Tier 325%QL 4/30d | Tier 325%QL 4/30d |
| Spirivatiotropium | Tier 325%QL 30/30d | Tier 440%QL 4/30d | Tier 428%QL 4/30d | Tier 320%QL 30/30d | Tier 435%QL 4/30d | Tier 316%QL 30/30d | Tier 4ST31%QL 4/30d | Tier 4ST31%QL 4/30d | Tier 316%QL 30/30d | Tier 3$45.00QL 30/30d | Tier 325%QL 4/30d | Tier 325%QL 4/30d |
| Incruse Elliptaumeclidinium | Not covered | Tier 325%QL 30/30d | Tier 325%QL 30/30d | Not covered | Tier 319%QL 30/30d | Not covered | Tier 317%QL 30/30d | Tier 321%QL 30/30d | Tier 316%QL 30/30d | Not covered | Not covered | Not covered |
| Breo Elliptafluticasone/vilanterol | Tier 325%QL 60/30d | Tier 325%QL 60/30d | Tier 325%QL 60/30d | Tier 320%QL 60/30d | Tier 319%QL 60/30d | Tier 316%QL 60/30d | Tier 317%QL 60/30d | Tier 321%QL 60/30d | Tier 316%QL 60/30d | Tier 3$45.00QL 60/30d | Tier 325%QL 60/30d | Tier 325%QL 60/30d |
| Symbicortbudesonide/formoterol | Tier 325%QL 30.6/30d | Not covered | Not covered | Tier 320%QL 30.6/30d | Not covered | Tier 316%QL 10.2/30d | Not covered | Not covered | Tier 316%QL 10.2/30d | Tier 3$45.00QL 30.6/30d | Not covered | Not covered |
| budesonide-formoterolgeneric Symbicort | Not covered | Not covered | Not covered | Not covered | Tier 319%QL 10.2/30d | Not covered | Not covered | Not covered | Not covered | Not covered | Tier 325%QL 10.2/30d | Tier 325%QL 10.2/30d |
| Advairfluticasone/salmeterol | Not covered | Tier 325%QL 12/30d | Tier 325%QL 12/30d | Not covered | Not covered | Not covered | Tier 317%QL 12/30d | Tier 321%QL 12/30d | Not covered | Not covered | Tier 325%QL 12/30d | Tier 325%QL 12/30d |
| Wixela Inhubfluticasone/salmeterol, generic Advair | Not covered | Not covered | Not covered | Not covered | Tier 2$10.00QL 60/30d | Tier 316%QL 60/30d | Not covered | Not covered | Tier 316%QL 60/30d | Not covered | Tier 325%QL 60/30d | Tier 325%QL 60/30d |
| Duleramometasone/formoterol | Not covered | Not covered | Not covered | Not covered | Tier 435%QL 13/30d | Tier 441%QL 13/30d | Not covered | Not covered | Tier 433%QL 13/30d | Not covered | Tier 325%QL 13/30d | Tier 325%QL 13/30d |
| Arnuity Elliptafluticasone furoate | Tier 325%QL 30/30d | Tier 325%QL 30/30d | Tier 325%QL 30/30d | Tier 320%QL 30/30d | Tier 319%QL 30/30d | Not covered | Tier 317%QL 30/30d | Tier 321%QL 30/30d | Tier 316%QL 30/30d | Tier 3$45.00QL 30/30d | Not covered | Not covered |
Where a plan covers several strengths or forms of a drug, the cell shows the least restricted one. Costs are the 30-day preferred-pharmacy cost-sharing in the initial coverage phase, from the CMS 2026 formulary files. Click a plan for its full drug list.