fluticasone-salmeterol inhalation
Generic: fluticasone-salmeterol inhal
21 mcg — Aerosol
Anti-inflammatories, Inhaled Corticosteroids
Also known as:
fluticasone-salmeterol inhalation aerosol powder breath activated
fluticasone-salmeterol inhal aerosol 45-21 mcg/act
fluticasone-salmeterol inhal aerosol 115-21 mcg/act
fluticasone-salmeterol inhal aerosol 230-21 mcg/act
fluticasone-salmeterol inhal aerosol 45-21
fluticasone-salmeterol inhal aerosol 115-21
fluticasone-salmeterol inhal aerosol 230-21
Fluticasone-Salmeterol Inhalation Aerosol Powder Breath Activated
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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.
AmeriHealth Caritas NC
10 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 2 - Generic | — | — | ✓ | QL |
Blue Cross Blue Shield Federal
3 plans| 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 |
Medicare Part D
17 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) | Tier 2 - Generic | — | — | ✓ 60 per 30 days | QL |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | Tier 2 - Generic | — | — | ✓ 60 per 30 days | QL |
| Troy Medicare (HMO) | Tier 2 - Generic | — | — | ✓ 60 per 30 days | QL |
| Blue Medicare PPO Enhanced (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Blue Medicare Essential Plus (HMO-POS) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Blue Medicare Enhanced (HMO-POS) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Blue Medicare Choice (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Blue Medicare Essential (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Alignment Health NC Duals (HMO-POS D-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Alignment Health smartHMO (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Alignment Health Heart & Diabetes NCPlus (HMO-POS C-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Alignment Health Platinum Select (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Alignment Health AVA (PPO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Healthy Blue + Medicare (HMO-POS D-SNP) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Alignment Health Platinum (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
| Experience Health Medicare Advantage (HMO) | Tier 3 - Preferred Brand | — | — | ✓ 1 per 30 days | QL |
NC State Health Plan
3 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| NC State Health Plan - 70/30 Standard PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | ✓ (except NDCs | QL |
| NC State Health Plan - HDHP 2026 | Tier 2 - Non-Preferred Generic | — | — | ✓ (except NDCs | QL |
| NC State Health Plan - 80/20 Plus PPO 2026 | Tier 2 - Non-Preferred Generic | — | — | ✓ (except NDCs | QL |