fluticasone furoate/vilanterol trifenatate

100 mcg-25 mcg/dose, 200 mcg-25 mcg/dose, 50 mcg-25 mcg/dose — Inhaler

Also known as: FLUTICASONE-VILANTEROL BREO ELLIPTA

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 16 hours, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA