ADVAIR 250-50 DISKUS

Drug Details

Brand Name: ADVAIR 250-50 DISKUS

Generic Name: fluticasone propion/salmeterol

Manufacturer: GLAXOSMITHKLINE

NDC: 00173069600

Package size: 60EA

Family Planning drug: No

Diabetic Supply Drug: No

HTW drug: No

HTWPlus drug: Yes

Long-acting reversible contraception product: No

Refill-to-soon Utilization*: 75%

Specialty Drug†: No

Retail Pharmacy Cost: 3.12783

Retail Pharmacy Eff Date: 01/03/2024

Specialty Pharmacy Cost: 3.07309

Specialty Pharmacy Eff Date: 01/03/2024

Long-term Care Pharmacy Cost: 3.05276

Long-term Care Pharmacy Eff Date: 01/03/2024

340B Rate: 1.40309

Premium Preferred Generic Incentive‡: No

Effective date: 03/01/2002

Compound-only use: No

PDL PA Required: No

PDL Class: GLUCOCORTICOIDS: INHALED

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 03/01/2002

Effective date: 03/01/2002

Compound-only use: No

Effective date: 09/01/2020