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Arnuity is a brand of fluticasone. What agents check before quoting it: how many 2027 Part D plans cover it, on which tier, with what restrictions and copays, by plan type, carrier and state.
In 2027, 5,006 of 5,492 Medicare Part D and Medicare Advantage drug plans (91.2%) list Arnuity on their formulary, across 250 of 286 formularies. The most common placement is tier 3 (4,587 plans, 91.6% of those covering it). 0 of the covering plans require prior authorization (0%), 0 step therapy and 4,944 a quantity limit. Generic fluticasone is on 5,492 of 5,492 plans (100%).
436 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $42, 63 of them $0; 4,570 charge coinsurance instead — median 21% of the drug's cost. Once a member's out-of-pocket drug spending reaches $2,400 in 2027, covered drugs cost $0 for the rest of the year.
2026: 4,992 of 5,496 plans covered it (90.8%); 2027: 5,006 of 5,492 (91.2%).
Of 4,367 plans offered in both years, 11 added it to the formulary and 22 dropped it.
Among plans covering it both years, 38 moved it to a higher tier and 234 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 104 |
| Tier 2 | 315 |
| Tier 3 | 4,587 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 289 of 323 | 89.5% | 0% |
| Medicare Advantage with drugs (MA-PD) | 2,839 of 3,200 | 88.7% | 0% |
| Special needs plans (SNP) | 1,878 of 1,969 | 95.4% | 0% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 846 of 846 | Tier 3 | 0 |
| UnitedHealthcare | 796 of 830 | Tier 3 | 0 |
| Devoted Health | 728 of 728 | Tier 3 | 0 |
| Aetna Medicare | 631 of 631 | Tier 3 | 0 |
| Wellcare | 268 of 268 | Tier 2 | 0 |
| HealthSpring | 226 of 226 | Tier 3 | 0 |
| Kaiser Permanente | 0 of 112 | No tier listed | 0 |
| SCAN Health Plan | 83 of 83 | Tier 3 | 0 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 0 of 80 | No tier listed | 0 |
| Alignment Health Plan | 77 of 77 | Tier 3 | 0 |
| Anthem Blue Cross and Blue Shield | 74 of 74 | Tier 3 | 0 |
| Wellpoint | 63 of 63 | Tier 3 | 0 |
| Priority Health Medicare | 40 of 40 | Tier 3 | 0 |
| CarePlus Health Plans, Inc. | 37 of 37 | Tier 3 | 0 |
| Zing Health | 36 of 36 | Tier 3 | 0 |
| Capital Blue Cross | 35 of 35 | Tier 3 | 0 |
| Prominence Health Plan | 29 of 29 | Tier 3 | 0 |
| Medica | 0 of 27 | No tier listed | 0 |
| Anthem HealthKeepers | 26 of 26 | Tier 3 | 0 |
| Blue Cross Blue Shield of Michigan | 26 of 26 | Tier 3 | 0 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 113 of 114 | 99.1% |
| Alaska | 8 of 9 | 88.9% |
| American Samoa | 1 of 1 | 100% |
| Arizona | 143 of 147 | 97.3% |
| Arkansas | 82 of 85 | 96.5% |
| California | 347 of 397 | 87.4% |
| Colorado | 94 of 106 | 88.7% |
| Connecticut | 53 of 54 | 98.1% |
| Delaware | 39 of 43 | 90.7% |
| District of Columbia | 9 of 12 | 75% |
| Florida | 544 of 545 | 99.8% |
| Georgia | 138 of 149 | 92.6% |
| Guam | 1 of 1 | 100% |
| Hawaii | 43 of 50 | 86% |
| Idaho | 44 of 45 | 97.8% |
| Illinois | 122 of 132 | 92.4% |
| Indiana | 135 of 138 | 97.8% |
| Iowa | 63 of 64 | 98.4% |
| Kansas | 83 of 84 | 98.8% |
| Kentucky | 118 of 121 | 97.5% |
| Louisiana | 112 of 125 | 89.6% |
| Maine | 51 of 52 | 98.1% |
| Maryland | 38 of 49 | 77.6% |
| Massachusetts | 65 of 89 | 73% |
| Michigan | 167 of 182 | 91.8% |
| Minnesota | 43 of 63 | 68.3% |
| Mississippi | 103 of 104 | 99% |
| Missouri | 161 of 170 | 94.7% |
| Montana | 26 of 27 | 96.3% |
| Nebraska | 48 of 51 | 94.1% |
| Nevada | 96 of 100 | 96% |
| New Hampshire | 24 of 25 | 96% |
| New Jersey | 72 of 73 | 98.6% |
| New Mexico | 67 of 68 | 98.5% |
| New York | 180 of 215 | 83.7% |
| North Carolina | 171 of 176 | 97.2% |
| North Dakota | 19 of 26 | 73.1% |
| Northern Mariana Islands | 1 of 1 | 100% |
| Ohio | 146 of 171 | 85.4% |
| Oklahoma | 80 of 81 | 98.8% |
| Oregon | 87 of 92 | 94.6% |
| Pennsylvania | 223 of 323 | 69% |
| Puerto Rico | 23 of 64 | 35.9% |
| Rhode Island | 28 of 29 | 96.6% |
| South Carolina | 88 of 89 | 98.9% |
| South Dakota | 21 of 30 | 70% |
| Tennessee | 133 of 156 | 85.3% |
| Texas | 406 of 407 | 99.8% |
| U.S. Virgin Islands | 1 of 1 | 100% |
| Utah | 52 of 53 | 98.1% |
| Vermont | 13 of 14 | 92.9% |
| Virginia | 137 of 144 | 95.1% |
| Washington | 95 of 114 | 83.3% |
| West Virginia | 56 of 69 | 81.2% |
| Wisconsin | 88 of 96 | 91.7% |
| Wyoming | 12 of 13 | 92.3% |
Medicare Part D paid for 902,690 30-day fills of Arnuity in 2024 for about 181,748 enrollees, at an average total cost of $221.01 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Arnuity and the rest of a client's list on every plan in their county.
Estimate Arnuity costs by plan
Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
Counts are over every Medicare Advantage drug plan and stand-alone Part D plan in the CMS monthly formulary files, excluding employer plans. A plan counts as covering a drug when any strength or form of it is on the plan’s formulary; the tier, prior authorization, step therapy and quantity limit shown are the most favorable version on that formulary. Copays are for a 30-day supply at a preferred retail pharmacy after the deductible. This is a reference for licensed agents, not a plan recommendation; verify with the plan’s formulary before advising a client. Source: CMS Part D formulary files (release 10/08/2026). CMS formulary data.