Home › Agent Hub › Agent Tools › Part D coverage by drug › Ventolin
Agent Tools
Ventolin is a brand of albuterol. 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, 1,722 of 5,492 Medicare Part D and Medicare Advantage drug plans (31.4%) list Ventolin on their formulary, across 61 of 286 formularies. The most common placement is tier 3 (1,712 plans, 99.4% of those covering it). 0 of the covering plans require prior authorization (0%), 0 step therapy and 1,531 a quantity limit. Generic albuterol is on 5,492 of 5,492 plans (100%).
142 covering plans charge a flat copay for a 30-day supply at a preferred retail pharmacy after the deductible — median $40, 31 of them $0; 1,580 charge coinsurance instead — median 19% 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: 3,901 of 5,496 plans covered it (71%); 2027: 1,722 of 5,492 (31.4%).
Of 4,367 plans offered in both years, 4 added it to the formulary and 1,671 dropped it.
Among plans covering it both years, 10 moved it to a higher tier and 0 to a lower one; 0 added prior authorization and 0 removed it.
| Tier | Plans |
|---|---|
| Tier 1 | 10 |
| Tier 3 | 1,712 |
| Plan type | Plans covering | Share | Prior auth |
|---|---|---|---|
| Stand-alone Part D (PDP) | 151 of 323 | 46.7% | 0% |
| Medicare Advantage with drugs (MA-PD) | 1,115 of 3,200 | 34.8% | 0% |
| Special needs plans (SNP) | 456 of 1,969 | 23.2% | 0% |
| Carrier | Plans covering | Usual tier | Prior auth |
|---|---|---|---|
| Humana | 846 of 846 | Tier 3 | 0 |
| UnitedHealthcare | 0 of 830 | No tier listed | 0 |
| Devoted Health | 0 of 728 | No tier listed | 0 |
| Aetna Medicare | 0 of 631 | No tier listed | 0 |
| Wellcare | 0 of 268 | No tier listed | 0 |
| HealthSpring | 226 of 226 | Tier 3 | 0 |
| Kaiser Permanente | 0 of 112 | No tier listed | 0 |
| SCAN Health Plan | 0 of 83 | No tier listed | 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 | 69 of 74 | Tier 3 | 0 |
| Wellpoint | 50 of 63 | Tier 3 | 0 |
| Priority Health Medicare | 0 of 40 | No tier listed | 0 |
| CarePlus Health Plans, Inc. | 37 of 37 | Tier 3 | 0 |
| Zing Health | 0 of 36 | No tier listed | 0 |
| Capital Blue Cross | 35 of 35 | Tier 3 | 0 |
| Prominence Health Plan | 0 of 29 | No tier listed | 0 |
| Medica | 0 of 27 | No tier listed | 0 |
| Anthem HealthKeepers | 25 of 26 | Tier 3 | 0 |
| Blue Cross Blue Shield of Michigan | 0 of 26 | No tier listed | 0 |
| State | Plans covering | Share |
|---|---|---|
| Alabama | 42 of 114 | 36.8% |
| Alaska | 4 of 9 | 44.4% |
| American Samoa | 0 of 1 | 0% |
| Arizona | 36 of 147 | 24.5% |
| Arkansas | 33 of 85 | 38.8% |
| California | 101 of 397 | 25.4% |
| Colorado | 34 of 106 | 32.1% |
| Connecticut | 14 of 54 | 25.9% |
| Delaware | 14 of 43 | 32.6% |
| District of Columbia | 1 of 12 | 8.3% |
| Florida | 193 of 545 | 35.4% |
| Georgia | 61 of 149 | 40.9% |
| Guam | 0 of 1 | 0% |
| Hawaii | 9 of 50 | 18% |
| Idaho | 15 of 45 | 33.3% |
| Illinois | 38 of 132 | 28.8% |
| Indiana | 55 of 138 | 39.9% |
| Iowa | 11 of 64 | 17.2% |
| Kansas | 28 of 84 | 33.3% |
| Kentucky | 60 of 121 | 49.6% |
| Louisiana | 39 of 125 | 31.2% |
| Maine | 21 of 52 | 40.4% |
| Maryland | 11 of 49 | 22.4% |
| Massachusetts | 8 of 89 | 9% |
| Michigan | 18 of 182 | 9.9% |
| Minnesota | 15 of 63 | 23.8% |
| Mississippi | 40 of 104 | 38.5% |
| Missouri | 45 of 170 | 26.5% |
| Montana | 18 of 27 | 66.7% |
| Nebraska | 12 of 51 | 23.5% |
| Nevada | 34 of 100 | 34% |
| New Hampshire | 10 of 25 | 40% |
| New Jersey | 22 of 73 | 30.1% |
| New Mexico | 23 of 68 | 33.8% |
| New York | 63 of 215 | 29.3% |
| North Carolina | 50 of 176 | 28.4% |
| North Dakota | 4 of 26 | 15.4% |
| Northern Mariana Islands | 0 of 1 | 0% |
| Ohio | 44 of 171 | 25.7% |
| Oklahoma | 28 of 81 | 34.6% |
| Oregon | 21 of 92 | 22.8% |
| Pennsylvania | 143 of 323 | 44.3% |
| Puerto Rico | 19 of 64 | 29.7% |
| Rhode Island | 9 of 29 | 31% |
| South Carolina | 34 of 89 | 38.2% |
| South Dakota | 4 of 30 | 13.3% |
| Tennessee | 70 of 156 | 44.9% |
| Texas | 148 of 407 | 36.4% |
| U.S. Virgin Islands | 0 of 1 | 0% |
| Utah | 21 of 53 | 39.6% |
| Vermont | 8 of 14 | 57.1% |
| Virginia | 62 of 144 | 43.1% |
| Washington | 29 of 114 | 25.4% |
| West Virginia | 29 of 69 | 42% |
| Wisconsin | 27 of 96 | 28.1% |
| Wyoming | 6 of 13 | 46.2% |
Medicare Part D paid for 2,625,936 30-day fills of Ventolin in 2024 for about 850,437 enrollees, at an average total cost of $58.11 per 30-day fill (CMS Part D Prescribers by Geography and Drug, national).
Price Ventolin and the rest of a client's list on every plan in their county.
Estimate Ventolin 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.