Fluticasone-salmeterol Hfa
115-21MCG, 230-21MCG, 45-21 MCG — HFA AEROSOL WITH ADAPTER (GRAM)
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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.
TRICARE
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 2 - Brand Formulary | ✓ | — | ✓ ADVAIR HFA(PS 8&12) LTD TO A MAX QUANTITY OF 1 UNIT PER DISP AT RETAIL OR 3 UNITS AT MAIL | PA | QL PA: TPA - ARMONAIR RESPICLICK,ADVAIR HFA,FLUTICASONE-SALMETEROL HFA FOR PT > 12 YR REQ PA; Quantity limit |