60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler

Verify with CMS →

RxCUI: 896021

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.
5.2%
Plan Coverage
261
Plans Covering
T2.5
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler

Per the CMS 2026 Part D formulary file, 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler (RxNorm concept RXCUI 896021) appears on 47 distinct formulary files spanning 261 Medicare Part D plan offerings - 5.2% 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 2.5.

Real-world access to 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 10.6% require step therapy. 74.5% 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 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler today.

Coverage Details

Formularies covering
47
Plans covering
261
Coverage rate
5.2%
Tier range
Tier 1 – Tier 4
Average tier
Tier 2, Generic

Restrictions

Prior authorization required
0% of formularies
Step therapy required
10.6% of formularies
Quantity limits
74.5% of formularies

Tier Distribution Across Plans

22 plans
Tier 1, Preferred Generic
37 plans
Tier 2, Generic
41 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler

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
SeniorCare Complete (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
AbilityCare (HMO D-SNP) SOUTH COUNTRY HEALTH ALLIANCE T1 No $0 MN
Alameda Alliance Wellness (HMO D-SNP) ALAMEDA ALLIANCE FOR HEALTH T1 No $0 CA
CalOptima Health OneCare Complete (HMO D-SNP) ORANGE COUNTY HEALTH AUTHORITY T1 No $0 CA
Mass General Brigham SCO (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Mass General Brigham One Care (HMO D-SNP) MASS GENERAL BRIGHAM HEALTH PLAN, INC T1 No $0 MA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $0 PA
Highmark Health Options Duals (HMO D-SNP) HIGHMARK HEALTH OPTIONS WEST VIRGINIA INC. T1 No $0 WV
Highmark Health Options Duals (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $0 DE
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
Leon MediExtra (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediDual (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Leon MediMore (HMO) LEON HEALTH, INC. T1 No $0 FL
Leon MediMax (HMO D-SNP) LEON HEALTH, INC. T1 No $0 FL
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $13.10 PA
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) GATEWAY HEALTH PLAN, INC. T1 No $17.60 PA
Highmark Health Options Duals Select (HMO D-SNP) HIGHMARK BCBSD, INC. T1 No $31.20 DE
HAP Medicare Explore (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $0 MI
HAP Medicare Prime (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $0 MI
HAP Medicare Connect (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
HAP Medicare Complete Duals (HMO D-SNP) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
HAP Medicare Superior (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
Henry Ford Select (HMO) HEALTH ALLIANCE PLAN OF MICHIGAN T2 No $0 MI
Troy Medicare (HMO) TROY HEALTH, INC. T2 No $0 NC
Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) TROY HEALTH, INC. T2 No $0 NC
Contra Costa Health Care Plus (HMO D-SNP) CONTRA COSTA COUNTY MEDICAL SERVICE DBA CONTRA COSTA HEALTH T2 No $0 CA
Keystone First VIP Choice (HMO D-SNP) VISTA HEALTH PLAN, INC. T2 No $0 PA
AmeriHealth Caritas VIP Care (HMO D-SNP) VISTA HEALTH PLAN, INC. T2 No $0 PA
First Choice VIP Care (HMO D-SNP) SELECT HEALTH OF SOUTH CAROLINA, INC. T2 No $0 SC
AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care Choice (HMO D-SNP) AmeriHealth Caritas VIP Next, Inc. T2 No $0 DE
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS FLORIDA INC T2 No $0 FL
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS LOUISIANA, INC. T2 No $0 LA
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH CARITAS NORTH CAROLINA, INC. T2 No $0 NC
AmeriHealth Caritas VIP Care (HMO D-SNP) AMERIHEALTH MICHIGAN, INC. T2 No $0 MI
Health First Rewards H1099-014 (HMO) HEALTH FIRST HEALTH PLANS T2 No $0 FL
Health First SunSaver H1099-016 (HMO) HEALTH FIRST HEALTH PLANS T2 No $0 FL
Health First Complete Care H1099-023 (HMO) HEALTH FIRST HEALTH PLANS T2 No $0 FL
Health First Emerald Plus H1099-024 (HMO) HEALTH FIRST HEALTH PLANS T2 No $0 FL
Health First Premier Access H1099-025 (HMO-POS) HEALTH FIRST HEALTH PLANS T2 No $0 FL
Health First Emerald Plus H1099-026 (HMO) HEALTH FIRST HEALTH PLANS T2 No $0 FL
Health First Premier Access H1099-027 (HMO-POS) HEALTH FIRST HEALTH PLANS T2 No $0 FL
Health First Emerald Plus H1099-028 (HMO) HEALTH FIRST HEALTH PLANS T2 No $0 FL
HAP Member Assist (PPO) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $8.80 MI
HAP Medicare Complete Assist (PPO D-SNP) ALLIANCE HEALTH AND LIFE INSURANCE COMPANY T2 No $8.80 MI

Frequently Asked Questions

Is 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler covered by Medicare Part D?

Yes, 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler is covered by 261 Medicare Part D plans (5.2% of all Part D formularies).

What tier is 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler on Medicare Part D plans?

60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler averages Tier 2.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler require prior authorization?

0% of Part D formularies require prior authorization for 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT Dry Powder Inhaler. Step therapy: 10.6%. Quantity limits: 74.5%.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial