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Dulera is a brand of formoterol / mometasone. 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, 2,434 of 5,492 Medicare Part D and Medicare Advantage drug plans (44.3%) list Dulera on their formulary, across 133 of 286 formularies. The most common placement is tier 4 (1,677 plans, 68.9% of those covering it). 166 of the covering plans require prior authorization (6.8%), 0 step therapy and 2,418 a quantity limit.
232 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $42, 24 of them $0; 2,202 charge coinsurance instead — median 26% 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: 3,194 of 5,496 plans covered it (58.1%); 2027: 2,434 of 5,492 (44.3%).
Of 4,367 plans offered in both years, 25 added it to the formulary and 551 dropped it.
Among plans covering it both years, 44 moved it to a higher tier and 6 to a lower one; 28 added prior authorization and 3 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 68 |
| Tier 3 | 689 |
| Tier 4 | 1,677 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 107 of 323 | 33.1% | 3.7% |
| Medicare Advantage with drugs (MA-PD) | 1,494 of 3,200 | 46.7% | 7.6% |
| Special needs plans (SNP) | 833 of 1,969 | 42.3% | 5.8% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 0 of 846 | No tier listed | 0 |
| UnitedHealthcare | 830 of 830 | Tier 4 | 0 |
| Devoted Health | 0 of 728 | No tier listed | 0 |
| Aetna Medicare | 631 of 631 | Tier 4 | 0 |
| Wellcare | 0 of 268 | No tier listed | 0 |
| HealthSpring | 0 of 226 | No tier listed | 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 | 80 of 80 | Tier 3 | 0 |
| Alignment Health Plan | 77 of 77 | Tier 3 | 0 |
| Anthem Blue Cross and Blue Shield | 0 of 74 | No tier listed | 0 |
| Wellpoint | 0 of 63 | No tier listed | 0 |
| Priority Health Medicare | 40 of 40 | Tier 3 | 0 |
| CarePlus Health Plans, Inc. | 0 of 37 | No tier listed | 0 |
| Zing Health | 0 of 36 | No tier listed | 0 |
| Capital Blue Cross | 8 of 35 | Tier 3 | 0 |
| Prominence Health Plan | 0 of 29 | No tier listed | 0 |
| Medica | 27 of 27 | Tier 3 | 0 |
| Anthem HealthKeepers | 0 of 26 | No tier listed | 0 |
| Blue Cross Blue Shield of Michigan | 26 of 26 | Tier 4 | 26 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 35 of 114 | 30.7% |
| Alaska | 3 of 9 | 33.3% |
| American Samoa | 1 of 1 | 100% |
| Arizona | 55 of 147 | 37.4% |
| Arkansas | 32 of 85 | 37.6% |
| California | 184 of 397 | 46.3% |
| Colorado | 36 of 106 | 34% |
| Connecticut | 20 of 54 | 37% |
| Delaware | 22 of 43 | 51.2% |
| District of Columbia | 7 of 12 | 58.3% |
| Florida | 219 of 545 | 40.2% |
| Georgia | 49 of 149 | 32.9% |
| Guam | 1 of 1 | 100% |
| Hawaii | 9 of 50 | 18% |
| Idaho | 20 of 45 | 44.4% |
| Illinois | 55 of 132 | 41.7% |
| Indiana | 43 of 138 | 31.2% |
| Iowa | 36 of 64 | 56.3% |
| Kansas | 46 of 84 | 54.8% |
| Kentucky | 37 of 121 | 30.6% |
| Louisiana | 51 of 125 | 40.8% |
| Maine | 17 of 52 | 32.7% |
| Maryland | 9 of 49 | 18.4% |
| Massachusetts | 25 of 89 | 28.1% |
| Michigan | 126 of 182 | 69.2% |
| Minnesota | 49 of 63 | 77.8% |
| Mississippi | 37 of 104 | 35.6% |
| Missouri | 84 of 170 | 49.4% |
| Montana | 5 of 27 | 18.5% |
| Nebraska | 27 of 51 | 52.9% |
| Nevada | 44 of 100 | 44% |
| New Hampshire | 7 of 25 | 28% |
| New Jersey | 44 of 73 | 60.3% |
| New Mexico | 34 of 68 | 50% |
| New York | 113 of 215 | 52.6% |
| North Carolina | 88 of 176 | 50% |
| North Dakota | 20 of 26 | 76.9% |
| Northern Mariana Islands | 1 of 1 | 100% |
| Ohio | 82 of 171 | 48% |
| Oklahoma | 33 of 81 | 40.7% |
| Oregon | 25 of 92 | 27.2% |
| Pennsylvania | 217 of 323 | 67.2% |
| Puerto Rico | 1 of 64 | 1.6% |
| Rhode Island | 19 of 29 | 65.5% |
| South Carolina | 37 of 89 | 41.6% |
| South Dakota | 24 of 30 | 80% |
| Tennessee | 38 of 156 | 24.4% |
| Texas | 164 of 407 | 40.3% |
| U.S. Virgin Islands | 1 of 1 | 100% |
| Utah | 24 of 53 | 45.3% |
| Vermont | 2 of 14 | 14.3% |
| Virginia | 56 of 144 | 38.9% |
| Washington | 43 of 114 | 37.7% |
| West Virginia | 46 of 69 | 66.7% |
| Wisconsin | 59 of 96 | 61.5% |
| Wyoming | 5 of 13 | 38.5% |
Medicare Part D paid for 498,156 30-day fills of Dulera in 2024 for about 105,730 enrollees, at an average total cost of $323.84 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Dulera and the rest of a client's list on every plan in their county.
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.