BREYNA 160/4.5 ug Aerosol, Metered

Also known as Budesonide And Formoterol Fumarate. Coverage in New Mexico (CMS PDP Region 26).

5 of 11 stand-alone Part D plans in New Mexico cover this drug on tier 3–4.

5 of 5 plans apply a prior authorization, step therapy or quantity limit.

32 Medicare Advantage plans in NM do cover it

Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. NM: 32 plans.

Every plan that covers it

Plan	Tier	30-day preferred	90-day mail	Unit cost	Est. 30-day fill	Restrictions
Wellcare Classic (PDP)$0.00/mo premium · $615.00 deductible	3Preferred Brand	25%	25%	$16.6134	$515.0231 units	Quantity limit 30.9 per 30 days
Wellcare Value Script (PDP)$0.00/mo premium · $615.00 deductible	3Preferred Brand	25%	25%	$16.6134	$515.0231 units	Quantity limit 30.9 per 30 days
HealthSpring Assurance Rx (PDP)$0.00/mo premium · $615.00 deductible	4Non-Preferred Drug	29%	29%	$15.5519	$155.5210 units	Quantity limit 10.3 per 30 days
Blue Cross MedicareRx Value (PDP)$111.30/mo premium · $615.00 deductible	4Non-Preferred Drug	33%	33%	$24.1457	$748.5231 units	Quantity limit 30.9 per 30 days
Blue Cross MedicareRx Basic (PDP)$145.40/mo premium · $615.00 deductible	4Non-Preferred Drug	40%	40%	$24.3459	$754.7231 units	Quantity limit 30.9 per 30 days

Cost-sharing is the initial coverage phase at a preferred pharmacy; a percentage is coinsurance of the plan’s negotiated price, and the deductible may apply first. CMS publishes a negotiated price per unit, so the 30-day fill is shown only where the plan’s own quantity limit supplies the quantity.

See coverage in all 39 regions →