Home › Agent Hub › Agent Tools › Part D coverage by drug › Fluticasone / Salmeterol
Agent Tools
Fluticasone / Salmeterol is the generic ingredient; brand versions: Wixela, Advair. 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, 5,289 of 5,492 Medicare Part D and Medicare Advantage drug plans (96.3%) list Fluticasone / Salmeterol on their formulary, across 275 of 286 formularies. The most common placement is tier 3 (2,618 plans, 49.5% of those covering it). 0 of the covering plans require prior authorization (0%), 0 step therapy and 5,161 a quantity limit.
2,687 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $1, 1,314 of them $0; 2,602 charge coinsurance instead — median 22% 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: 5,394 of 5,496 plans covered it (98.1%); 2027: 5,289 of 5,492 (96.3%).
Of 4,367 plans offered in both years, 0 added it to the formulary and 71 dropped it.
Among plans covering it both years, 72 moved it to a higher tier and 231 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 399 |
| Tier 2 | 2,251 |
| Tier 3 | 2,618 |
| Tier 4 | 21 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 187 of 323 | 57.9% | 0% |
| Medicare Advantage with drugs (MA-PD) | 3,141 of 3,200 | 98.2% | 0% |
| Special needs plans (SNP) | 1,961 of 1,969 | 99.6% | 0% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 744 of 846 | Tier 3 | 0 |
| UnitedHealthcare | 830 of 830 | Tier 3 | 0 |
| Devoted Health | 728 of 728 | Tier 2 | 0 |
| Aetna Medicare | 631 of 631 | Tier 2 | 0 |
| Wellcare | 234 of 268 | Tier 1 | 0 |
| HealthSpring | 226 of 226 | Tier 2 | 0 |
| Kaiser Permanente | 112 of 112 | Tier 2 | 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 | 74 of 74 | Tier 3 | 0 |
| Wellpoint | 63 of 63 | Tier 3 | 0 |
| Priority Health Medicare | 40 of 40 | Tier 2 | 0 |
| CarePlus Health Plans, Inc. | 37 of 37 | Tier 3 | 0 |
| Zing Health | 36 of 36 | Tier 2 | 0 |
| Capital Blue Cross | 35 of 35 | Tier 3 | 0 |
| Prominence Health Plan | 29 of 29 | Tier 2 | 0 |
| Medica | 1 of 27 | Tier 3 | 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 | 110 of 114 | 96.5% |
| Alaska | 5 of 9 | 55.6% |
| American Samoa | 1 of 1 | 100% |
| Arizona | 143 of 147 | 97.3% |
| Arkansas | 81 of 85 | 95.3% |
| California | 393 of 397 | 99% |
| Colorado | 102 of 106 | 96.2% |
| Connecticut | 50 of 54 | 92.6% |
| Delaware | 39 of 43 | 90.7% |
| District of Columbia | 12 of 12 | 100% |
| Florida | 541 of 545 | 99.3% |
| Georgia | 145 of 149 | 97.3% |
| Guam | 1 of 1 | 100% |
| Hawaii | 46 of 50 | 92% |
| Idaho | 41 of 45 | 91.1% |
| Illinois | 128 of 132 | 97% |
| Indiana | 134 of 138 | 97.1% |
| Iowa | 60 of 64 | 93.8% |
| Kansas | 80 of 84 | 95.2% |
| Kentucky | 117 of 121 | 96.7% |
| Louisiana | 121 of 125 | 96.8% |
| Maine | 48 of 52 | 92.3% |
| Maryland | 45 of 49 | 91.8% |
| Massachusetts | 85 of 89 | 95.5% |
| Michigan | 178 of 182 | 97.8% |
| Minnesota | 46 of 63 | 73% |
| Mississippi | 100 of 104 | 96.2% |
| Missouri | 166 of 170 | 97.6% |
| Montana | 23 of 27 | 85.2% |
| Nebraska | 45 of 51 | 88.2% |
| Nevada | 96 of 100 | 96% |
| New Hampshire | 21 of 25 | 84% |
| New Jersey | 69 of 73 | 94.5% |
| New Mexico | 64 of 68 | 94.1% |
| New York | 190 of 215 | 88.4% |
| North Carolina | 172 of 176 | 97.7% |
| North Dakota | 16 of 26 | 61.5% |
| Northern Mariana Islands | 1 of 1 | 100% |
| Ohio | 151 of 171 | 88.3% |
| Oklahoma | 77 of 81 | 95.1% |
| Oregon | 88 of 92 | 95.7% |
| Pennsylvania | 319 of 323 | 98.8% |
| Puerto Rico | 64 of 64 | 100% |
| Rhode Island | 25 of 29 | 86.2% |
| South Carolina | 85 of 89 | 95.5% |
| South Dakota | 18 of 30 | 60% |
| Tennessee | 152 of 156 | 97.4% |
| Texas | 403 of 407 | 99% |
| U.S. Virgin Islands | 1 of 1 | 100% |
| Utah | 49 of 53 | 92.5% |
| Vermont | 10 of 14 | 71.4% |
| Virginia | 140 of 144 | 97.2% |
| Washington | 108 of 114 | 94.7% |
| West Virginia | 65 of 69 | 94.2% |
| Wisconsin | 88 of 96 | 91.7% |
| Wyoming | 9 of 13 | 69.2% |
Medicare Part D paid for 3,810,732 30-day fills of Fluticasone / Salmeterol in 2024 for about 779,609 enrollees, at an average total cost of $106.74 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Fluticasone / Salmeterol and the rest of a client's list on every plan in their county.
Estimate Fluticasone / Salmeterol 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.