ADVAIR HFA 115-21 MCG INHALER

Drug Details

Brand Name: ADVAIR HFA 115-21 MCG INHALER

Generic Name: fluticasone propion/salmeterol

Manufacturer: GLAXOSMITHKLINE

NDC: 00173071622

Package size: 8GM

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: 19.16757

Retail Pharmacy Eff Date: 01/02/2024

Specialty Pharmacy Cost: 17.99405

Specialty Pharmacy Eff Date: 01/02/2024

Long-term Care Pharmacy Cost: 18.89375

Long-term Care Pharmacy Eff Date: 01/02/2024

340B Rate: 8.41026

Premium Preferred Generic Incentive‡: No

Effective date: 01/14/2010

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: 01/14/2010

Effective date: 01/14/2010

Compound-only use: No

Effective date: 09/01/2020