fluticasone propionate/salmeterol xinafoate

113 mcg-14 mcg/actuation, 232 mcg-14 mcg/actuation, 55 mcg-14 mcg/actuation — Aerosol

PULMONARY-1 AGENTS

Also known as: AIRDUO RESPICLICK AIRDUO DIGIHALER FLUTICASONE-SALMETEROL

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 14 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
BCBS Federal Focus 2026
via fluticasone-salmeterol
Tier 1 - Generic None
BCBS Federal Standard Option 2026
via fluticasone-salmeterol
Tier 1 - Generic None
BCBS Federal Basic Option 2026
via fluticasone-salmeterol
Tier 1 - Generic None
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026
via fluticasone-salmeterol
Tier 1 - Preferred Generic (except NDC QL
NC State Health Plan - 70/30 Standard PPO 2026
via fluticasone-salmeterol
Tier 1 - Preferred Generic (except NDC QL
NC State Health Plan - HDHP 2026
via fluticasone-salmeterol
Tier 1 - Preferred Generic (except NDC QL
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 13 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary PA
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