200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir]
RxCUI: 1649961
Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.
6.7%
Plan Coverage
338
Plans Covering
T2.9
Avg Tier
0%
Prior Auth Required
What the CMS Formulary Data Shows for 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir]
Per the CMS 2026 Part D formulary file, 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] (RxNorm concept RXCUI 1649961) appears on 42 distinct formulary files spanning 338 Medicare Part D plan offerings - 6.7% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.9.
Real-world access to 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 90.5% apply quantity limits.
Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] today.
Coverage Details
- Formularies covering
- 42
- Plans covering
- 338
- Coverage rate
- 6.7%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 90.5% of formularies
Tier Distribution Across Plans
27 plans
Tier 1, Preferred Generic
3 plans
Tier 2, Generic
70 plans
Tier 3, Preferred Brand
Medicare Advantage Plans (MA-PD) Covering 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir]
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| NaviCare (HMO D-SNP) | FALLON COMMUNITY HEALTH PLAN | T1 | No | $0 | MA |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | T1 | No | $0 | PA |
| Provider Partners North Carolina Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA | T1 | No | $0 | NC |
| Provider Partners Indiana Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | T1 | No | $0 | IN |
| Provider Partners Maryland Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN, INC. | T1 | No | $0 | MD |
| Provider Partners Missouri Community Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. | T1 | No | $0 | MO |
| Tufts Health One Care (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | No | $0 | MA |
| Tufts Health One Care CW (HMO D-SNP) | TUFTS HEALTH PUBLIC PLANS, INC. | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | No | $0 | MA |
| Tufts Health Plan Senior Care Options CW (HMO D-SNP) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | T1 | No | $0 | MA |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF FLORIDA INC | T1 | No | $4.80 | FL |
| Provider Partners Texas Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC. | T1 | No | $4.80 | TX |
| Provider Partners Illinois Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS | T1 | No | $15.20 | IL |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | GOLD KIDNEY OF ARIZONA | T1 | No | $17.00 | AZ |
| Provider Partners Maryland Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN, INC. | T1 | No | $31.20 | MD |
| Provider Partners Maryland Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN, INC. | T1 | No | $31.20 | MD |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | T1 | No | $32.70 | PA |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC | T1 | No | $32.70 | PA |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
| Provider Partners North Carolina Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA | T1 | No | $36.20 | NC |
| Provider Partners North Carolina Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA | T1 | No | $36.20 | NC |
| Provider Partners Indiana Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | T1 | No | $38.40 | IN |
| Provider Partners Indiana Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF INDIANA | T1 | No | $38.40 | IN |
| Provider Partners Kentucky Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF KENTUCKY | T1 | No | $38.40 | KY |
| Provider Partners Missouri Advantage Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. | T1 | No | $43.00 | MO |
| Provider Partners Missouri Essential Plan (HMO I-SNP) | PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC. | T1 | No | $43.00 | MO |
| BlueCare Plus (HMO D-SNP) | VOLUNTEER STATE HEALTH PLAN | T2 | No | $0 | TN |
| BlueCare Plus Choice (HMO D-SNP) | VOLUNTEER STATE HEALTH PLAN | T2 | No | $0 | TN |
| BlueCare Plus Select (HMO D-SNP) | VOLUNTEER STATE HEALTH PLAN | T2 | No | $0 | TN |
| Anthem I CareMore Medicare Advantage 2 (HMO-POS) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Anthem I CareMore Chronic Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Anthem I CareMore Home Care (HMO I-SNP) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Anthem I CareMore Chronic Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Anthem I CareMore Lung Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Anthem I CareMore Kidney Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Anthem I CareMore Lung Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Anthem I CareMore Kidney Care (HMO-POS C-SNP) | BLUE CROSS OF CALIFORNIA | T3 | No | $0 | CA |
| Wellpoint Lung Care (HMO-POS C-SNP) | WELLPOINT HEALTH PLANS, INC. | T3 | No | $0 | AZ |
| Wellpoint Chronic Care (HMO-POS C-SNP) | WELLPOINT HEALTH PLANS, INC. | T3 | No | $0 | AZ |
| Wellpoint Medicare Advantage 1 (HMO-POS) | WELLPOINT HEALTH PLANS, INC. | T3 | No | $0 | AZ |
| Wellpoint Premium Savings (HMO) | WELLPOINT HEALTH PLANS, INC. | T3 | No | $0 | AZ |
| Wellpoint I CareMore Home Care (HMO I-SNP) | WELLPOINT HEALTH PLANS, INC. | T3 | No | $0 | AZ |
| Wellpoint I CareMore Home Care (HMO I-SNP) | WELLPOINT HEALTH PLANS, INC. | T3 | No | $0 | AZ |
| Wellpoint Medicare Advantage 2 (HMO-POS) | WELLPOINT TEXAS, INC. | T3 | No | $0 | AZ |
| Wellpoint I CareMore Home Care 2 (HMO I-SNP) | WELLPOINT TEXAS, INC. | T3 | No | $0 | AZ |
| Wellpoint Lung Care 2 (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T3 | No | $0 | AZ |
| Wellpoint Chronic Care 2 (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T3 | No | $0 | AZ |
| Wellpoint I CareMore Kidney Care (HMO-POS C-SNP) | WELLPOINT TEXAS, INC. | T3 | No | $0 | AZ |
| Anthem Chronic Care (HMO-POS C-SNP) | HealthKeepers, Inc. | T3 | No | $0 | VA |
Frequently Asked Questions
Is 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] covered by Medicare Part D?
Yes, 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] is covered by 338 Medicare Part D plans (6.7% of all Part D formularies).
What tier is 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] on Medicare Part D plans?
200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] averages Tier 2.9 across Part D plans, ranging from Tier 1 to Tier 4.
Does 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] require prior authorization?
0% of Part D formularies require prior authorization for 200 ACTUAT albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir]. Step therapy: 0%. Quantity limits: 90.5%.
Read our methodology - how this data is sourced, computed, and verified.
Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial