fluticasone-salmeterol

Generic: fluticasone propionate/salmeterol xinafoate

50 mcg — Aerosol

Also known as: fluticasone-salmeterol aer powder ba 100-50 mcg/act fluticasone-salmeterol aer powder ba 250-50 mcg/act fluticasone-salmeterol aer powder ba 500-50 mcg/act fluticasone-salmeterol aer powder ba 100-50 mcg/act, 250-50 mcg/act, 500-50 mcg/ act fluticasone-salmeterol aer powder ba 55-14 mcg/act fluticasone-salmeterol aer powder ba 113-14 mcg/act fluticasone-salmeterol aer powder ba 232-14 mcg/act fluticasone-salmeterol aer powder ba 100-50 fluticasone-salmeterol aer powder ba 250-50 fluticasone-salmeterol aer powder ba 500-50

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Coverage by Insurer

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

Blue Cross Blue Shield Federal

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 51 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBS Federal Focus 2026	Tier 1 - Generic	—	—	—	None
BCBS Federal Standard Option 2026	Tier 1 - Generic	—	—	—	None
BCBS Federal Basic Option 2026	Tier 1 - Generic	—	—	—	None

Blue Cross Blue Shield of NC

5 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 51 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Care 2026 via Fluticasone Propionate/ Sa	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Value 2026 via Fluticasone Propionate/ Sa	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Advantage 2026 via Fluticasone Propionate/ Sa	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Home with UNC Health Alliance 2026 via Fluticasone Propionate/ Sa	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL
BCBSNC Blue Local 2026 via Fluticasone Propionate/ Sa	Tier 2 - Medium Cost Generic/Brand	—	—	✓	QL

NC State Health Plan

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 20 hours, 51 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Tier 1 - Preferred Generic	—	—	✓ (except NDC	QL
NC State Health Plan - 70/30 Standard PPO 2026	Tier 1 - Preferred Generic	—	—	✓ (except NDC	QL
NC State Health Plan - HDHP 2026	Tier 1 - Preferred Generic	—	—	✓ (except NDC	QL

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 20 hours, 50 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via fluticasone propionate/salmeterol xinafoate	Tier 3 - Non-Formulary	✓	—	—	PA