60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair]

Verify with CMS →

RxCUI: 896229

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.
0.5%
Plan Coverage
25
Plans Covering
T2.6
Avg Tier
0%
Prior Auth Required

What the CMS Formulary Data Shows for 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair]

Per the CMS 2026 Part D formulary file, 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] (RxNorm concept RXCUI 896229) appears on 5 distinct formulary files spanning 25 Medicare Part D plan offerings - 0.5% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 2.6.

Real-world access to 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 100% 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 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] today.

Coverage Details

Formularies covering
5
Plans covering
25
Coverage rate
0.5%
Tier range
Tier 1 – Tier 3
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
100% of formularies

Tier Distribution Across Plans

1 plans
Tier 1, Preferred Generic
24 plans
Tier 3, Preferred Brand

Medicare Advantage Plans (MA-PD) Covering 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair]

25 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
Medicare BlueEssential (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $0 NY
Medicare BlueActive (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $0 NY
Medicare BlueVital (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $0 NY
Univera SeniorChoice Basic (HMO) EXCELLUS HEALTH PLAN, INC. T3 No $0 NY
Univera SeniorChoice Extra (HMO) EXCELLUS HEALTH PLAN, INC. T3 No $0 NY
Medicare Blue Choice Core (HMO) EXCELLUS HEALTH PLAN, INC. T3 No $0 NY
Univera Medicare Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T3 No $0 NY
Medicare Blue Dual (HMO D-SNP) EXCELLUS HEALTH PLAN COMMUNITY CARE LLC T3 No $0 NY
Fallon Medicare Plus Orange (HMO) FALLON COMMUNITY HEALTH PLAN T3 No $0 MA
CDPHP $0 Medicare Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T3 No $0 NY
Univera SeniorChoice Core (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $33.00 NY
Univera SeniorChoice Advanced (HMO-POS) EXCELLUS HEALTH PLAN, INC. T3 No $36.90 NY
Medicare BlueClassic (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $51.00 NY
Univera SeniorChoice Secure (HMO-POS) EXCELLUS HEALTH PLAN, INC. T3 No $54.90 NY
Medicare BlueBalanced (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $55.00 NY
Medicare Blue Choice Prime (HMO) EXCELLUS HEALTH PLAN, INC. T3 No $55.00 NY
Fallon Medicare Plus Green (HMO) FALLON COMMUNITY HEALTH PLAN T3 No $56.40 MA
Univera SeniorChoice Value Plus (HMO-POS) EXCELLUS HEALTH PLAN, INC. T3 No $58.60 NY
Medicare BlueEnhanced (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $70.30 NY
Fallon Medicare Plus Blue (HMO) FALLON COMMUNITY HEALTH PLAN T3 No $72.10 MA
Medicare BluePlus (PPO) EXCELLUS HEALTH PLAN, INC. T3 No $86.40 NY
CDPHP Clear Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T3 No $100.00 NY
CDPHP Choice Rx (HMO) CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. T3 No $135.00 NY
Medicare Blue Choice Optimum (HMO-POS) EXCELLUS HEALTH PLAN, INC. T3 No $146.00 NY

Frequently Asked Questions

Is 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] covered by Medicare Part D?

Yes, 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] is covered by 25 Medicare Part D plans (0.5% of all Part D formularies).

What tier is 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] on Medicare Part D plans?

60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] averages Tier 2.6 across Part D plans, ranging from Tier 1 to Tier 3.

Does 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair] require prior authorization?

0% of Part D formularies require prior authorization for 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair]. Step therapy: 0%. Quantity limits: 100%.

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