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fluticasone furoate, umeclidinium bromide and vilanterol trifenatate 100 ug/1 / 62.5 ug/1 / 25 ug/1 Medicare Part D Coverage

Brand name: Trelegy Ellipta
Dosage form
POWDER
Route
RESPIRATORY (INHALATION)
98%
of Medicare Part D plans
cover fluticasone furoate, umeclidinium bromide and vilanterol trifenatate
5,414 of 5,530 plans
2.9
Avg. formulary tier
$44.00
Median 30-day copay
$0.00–$88.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify fluticasone furoate, umeclidinium bromide and vilanterol trifenatate. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
163 plans • avg $0.00/mo
Tier 2 - Generic 1%
52 plans • avg $16.46/mo
Tier 3 - Preferred Brand 96%
5,189 plans • avg $5.66/mo
Tier 4 - Non-Preferred Drug 0%
10 plans • avg $0.00/mo

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fluticasone furoate, umeclidinium bromide and vilanterol trifenatate Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Alternative Medications in the Same Drug Class

Other drugs in the Bronchodilators that Medicare Part D plans also cover.

Frequently Asked Questions about fluticasone furoate, umeclidinium bromide and vilanterol trifenatate

98% of Medicare Part D plans cover fluticasone furoate, umeclidinium bromide and vilanterol trifenatate. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

The median 30-day copay for fluticasone furoate, umeclidinium bromide and vilanterol trifenatate on Medicare Part D is $44.00 at a preferred pharmacy. Costs range from $0.00 to $88.00 depending on the plan.

fluticasone furoate, umeclidinium bromide and vilanterol trifenatate is placed on Tier 3 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for fluticasone furoate, umeclidinium bromide and vilanterol trifenatate. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

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Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →