FLUTICASONE PROPIONATE AND SALMETEROL DISKUS 250/50 ug Powder
Also known as Fluticasone Propionate And Salmeterol. Coverage in New York (CMS PDP Region 03).
3 of 10 stand-alone Part D plans in New York cover this drug on tier 2–3.
Lowest 30-day cost $6.00 at a preferred pharmacy. 3 of 3 plans apply a prior authorization, step therapy or quantity limit.
171 Medicare Advantage plans in NY 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. NY: 171 plans.
Every plan that covers it
| Plan | Tier | 30-day preferred | 90-day mail | Unit cost | Est. 30-day fill | Restrictions |
|---|---|---|---|---|---|---|
| SilverScript Choice (PDP)$116.00/mo premium · $615.00 deductible | 2Generic | $6.00 | $18.00 | $0.7250 | $4.356 units |
|
| AARP Medicare Rx Saver from UHC (PDP)$105.80/mo premium · $615.00 deductible | 3Preferred Brand | 17% | 17% | $1.7199 | $10.326 units |
|
| AARP Medicare Rx Preferred from UHC (PDP)$163.70/mo premium · $130.00 deductible | 3Preferred Brand | 15% | 15% | $1.7199 | $10.326 units |
|
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.