Approved Formulary
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Approved Formulary
Inhaled Steroid/LABA Comparison Table

 

Medication

Dosing Schedule

Comparative Dosing

 

Cost1

Inhalations per Inhaler

Low

Medium

High

Budesonide/Formoterol HFA (Symbicort®) 80-4.5mcg

2 puffs BID

 

320/18mcg

 

320/18mcg to 640/18mcg

 

640/18mcg

$253.96

120

Budesonide/Formoterol HFA (Symbicort®) 160-4.5mcg

2 puffs BID

$290.28

120

Fluticasone propionate/Salmeterol DPI (Airduo Respiclick®)

55-14mcg

1 puff BID

 

110/28mcg

 

226/28mcg

 

464/28mcg

$80.55

60

Fluticasone propionate/Salmeterol DPI (Airduo Respiclick®)

113-14mcg

1 puff BID

$80.55

60

Fluticasone propionate/Salmeterol DPI (Airduo Respiclick®)

232-14mcg

1 puff BID

$80.55

60

Fluticasone propionate/Salmeterol DPI (Advair® Diskus) 100-50mcg

1 puff BID

 

 

200/100mcg

 

 

350/100mcg to 500/100mcg

 

 

>500/50mcg

$270.80

60

Fluticasone propionate/Salmeterol DPI (Advair® Diskus) 250-50mcg

1 puff BID

$336.47

60

Fluticasone propionate/Salmeterol DPI (Advair® Diskus) 500-50mcg

1 puff BID

$442.52

60

Fluticasone propionate/Salmeterol (Advair® HFA) 45-21mcg

2 puffs BID

 

 

180/84mcg to 250/84mcg

 

 

320/84mcg to 460/84mcg

 

 

>460/84mcg

$270.80

120

Fluticasone propionate/Salmeterol (Advair® HFA ) 115-21mcg

2 puffs BID

$336.47

120

Fluticasone propionate/Salmeterol (Advair HFA®) 230-21mcg

2 puffs BID

$442.52

120

Fluticasone furoate/Vilanterol DPI Breo Ellipta® 100-25mcg

1 puff QD

 

100/25mcg

 

N/A

 

200/25mcg

$299.54

30

Fluticasone furoate/Vilanterol DPI Breo Ellipta® 200-25mcg

1 puff QD

$299.54

30

Mometasone/Formoterol HFA Dulera® 100-5mcg

2 puffs BID

N/A

400/20mcg

800/20mcg

$273.19

120

Mometasone/Formoterol HFA Dulera® 200-5mcg

2 puffs BID

$273.19

120

1Based on cost obtained from Cardinal website on 7/27/17.

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