fluticasone/vilanterol

100-25MCG, 200-25 MCG, 50-25 MCG — Inhaler

PULMONARY-1 AGENTS

Also known as: BREO ELLIPTA FLUTICASONE-VILANTEROL
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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.
Source: Excel (XLSX)  ·  Formulary date: Jul 31, 2026  ·  Checked: 2 hours, 5 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — ✓ PA | QL
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