Fluticasone-vilanterol
Generic: fluticasone/vilanterol
100-25MCG, 200-25 MCG — Inhaler
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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 3 - Non-Formulary | — | ✓ | ✓ BREO ELLIPTA(PS 60) TO DISP AT A MAX QTY OF 1 INHALER PER DISP AT RTL OR 3 INHALERS AT MAIL | ST | QL Step therapy: BETA-ADRENERGIC AND GLUCOCORTICOID COMBO,INHALED PRODUCTS FOR PTS >=13 YRS W/O USE IN 180D REQ PA; Quantity limit |