ADVAIR HFA 115-21 MCG INHALER

Drug Details

General

Brand Name: ADVAIR HFA 115-21 MCG INHALER
Generic Name: fluticasone propion/salmeterol
Manufacturer: GLAXOSMITHKLINE
NDC: 00173071620
Package size: 12GM

Drug Information

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

Drug Pricing

Retail Pharmacy Cost: 25.45128
Retail Pharmacy Eff Date: 01/03/2024
Specialty Pharmacy Cost: 25.00588
Specialty Pharmacy Eff Date: 01/03/2024
Long-term Care Pharmacy Cost: 24.84044
Long-term Care Pharmacy Eff Date: 01/03/2024
340B Rate: 11.42796
Premium Preferred Generic Incentive‡: No

* Impacts only claims paid by HHSC: traditional Medicaid, CSHCN, HTW, and KHC Programs.

† Refer to the Specialty Drug Handbook for more information..

‡ Refer to the Premium Preferred Generic Drugs section for information about traditional Medicaid claim pricing and PPG pricing incentives.