Symbicort (budesonide-formoterol) Medicare coverage in 2026. Symbicort treats Asthma, COPD. Retail cost runs about $365/month. How Medicare covers it depends on your Part D or Medicare Advantage plan — and the new $2,000 annual out-of-pocket cap makes a huge difference for high-cost drugs. Medicare coverage and pricing details for Symbicort. Learn more about Medicare prescription drug plans and savings with GoodRx. Medicare Coverage for Symbicort Medicare Part D plans generally cover Symbicort with formulary placement varying by plan. Compare plans during open enrollment to find the best coverage. The average monthly cost for Symbicort through Medicare Advantage or Part D is around $31, while Medicaid costs about $1 to $2. The writer faced an increase in copay during a time in the Medicare Donut Hole, where a 90-day supply of Symbicort jumped from $47 to approximately $1, 132. Symbicort (budesonide and formoterol) is a combination medication for asthma and COPD. Medicare Part D may cover it, but coverage extent and costs depend on individual plans. About generic Symbicort Budesonide / formoterol (Symbicort) is used to treat the symptoms of asthma. It is slightly more popular than comparable drugs. It is available in generic and brand versions. Generic budesonide/formoterol is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. Used for both asthma and COPD Frequently asked questions about Symbicort on Medicare Does Medicare cover Symbicort? Yes, Symbicort is generally covered by Medicare Part D plans, most often on Tier 3 (preferred brand). Coverage and costs vary between plans, so compare plans available in your area. Some plans require prior authorization. Medicare Part D plans and patients paid pharmacies an average of $219 per 30-day fill of SYMBICORT — not a patient's out-of-pocket cost. Plus what drug makers reported paying prescribers. How much does Symbicort cost? Symbicort costs between $300 and $400 per month without insurance. An authorized generic version is now available at a lower price point. What is Symbicort used for? Symbicort combines a corticosteroid (budesonide) and a long-acting bronchodilator (formoterol) for maintenance treatment of asthma and COPD. Patients on Medicare aren't eligible for the $35 Symbicort coupon, but that doesn't mean you're out of options. If you're enrolled in a Medicare Part D plan, you may qualify for the Extra Help program, a federal subsidy that lowers prescription drug costs for individuals with limited income and assets. Symbicort is a prescription inhalant for asthma or COPD that combines a corticosteroid with a long-acting beta agonist. It costs around $476 without insurance for a 30-day supply. Most commercial health insurance plans, Medicare, and Medicaid cover Symbicort, but uninsured patients can use a SingleCare coupon to reduce the cost to about $243. Budesonide / formoterol (Symbicort) is used to treat the symptoms of asthma. It is slightly more popular than comparable drugs. It is available in generic and brand versions. Generic budesonide/formoterol is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. How much does Symbicort cost? Without insurance, the average retail price of Symbicort is $494 for one 10.2 gm inhaler, enough for a 30-day supply. A full year of treatment could cost nearly $6,000 without coverage. Most insurance plans, including Medicare Part D, Medicare Advantage, and Medicaid, cover Symbicort or its generic version. Symbicort is a prescription drug used to treat asthma and chronic obstructive pulmonary disease (COPD). Learn how to lower long-term costs and more. How much does Symbicort cost without insurance? The average retail price of Symbicort is $483.50 per 1, 10.2gm of 160-4.5mcg/act (120 inhalations) inhaler without insurance. Brand-name Symbicort costs $350 to $450 per inhaler without insurance. Generic budesonide/formoterol costs $200 to $350 at full retail, or $150 to $250 with a discount card like GoodRx or SingleCare. Frequently Asked Questions How much does Symbicort cost without insurance? Symbicort costs approximately $350 per month without insurance. With insurance, copays range from $15 to $75 per month. Without insurance, Symbicort can cost hundreds of dollars. Learn more about how much Symbicort costs without insurance and ways to save with this guide. We would like to show you a description here but the site won't allow us. The generic is about half the cost of brand-name Symbicort, which is $298.73 for the same dosage. Of course, if you pay for the generic through your insurance the cost will depend on your coverage. Symbicort versus Advair Advair and Symbicort are very similar in nature, and many patients wonder which is best for them. All Medicare Part D plans or Medicare Advantage plans with prescription drug coverage that cover your chosen drug will be shown with the plan's premium, deductible, drug cost-sharing details and the plan's average negotiated retail drug price. Example: California stand-alone Medicare Part D plans covering ATORVASTATIN 10 MG TABLET. Budesonide/formoterol (Symbicort) is a popular medication used to treat asthma symptoms and is available in both generic and brand versions. It is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. About budesonide/Formoterol Budesonide / formoterol (Symbicort) is used to treat the symptoms of asthma. It is slightly more popular than comparable drugs. It is available in generic and brand versions. Generic budesonide/formoterol is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. Compare Symbicort prices, print discount coupons, find manufacturer promotions, copay cards and patient assistance programs. If you'd like to know more about whether Symbicort is covered by Medicare, talk with your insurance provider, doctor, or pharmacist. Why are costs different for brand-name drugs vs. generic drugs? Aetna does not usually cover brand-name Symbicort but may cover generic budesonide-formoterol or the trademark generic Breyna in its formulary. Without insurance, brand-name Symbicort costs around $492 for one inhaler, but you could pay as low as $227 for a brand-name Symbicort inhaler or $156 for the generic version by using a SingleCare card. Symbicort is manufactured by AstraZeneca, which offers a patient assistance program called AZ&ME. This program is designed to help patients without insurance or those on Medicare Part D reduce the cost of their prescriptions. Eligibility criteria typically include income thresholds and lack of adequate prescription coverage. The average out-of-pocket prices for both drugs are relatively similar, although they can vary based on your insurance, pharmacy, and location. Many insurance, Medicare Part D, and Medicaid plans cover Breyna or Symbicort, as long as they're prescribed for an FDA-approved medical condition. Medicare Advantage Plans: Some Advantage plans may cover the brand name; check with your plan provider. Prior Authorization: If your plan covers Symbicort, it may require prior authorization. State Assistance Programs (SPAPs): Some states offer help paying for medications like Symbicort or its generic. How much does Symbicort cost without insurance? The brand-name Symbicort inhaler can be expensive without insurance, but the newer generic options can bring the cash price down. I checked a drug plan under traditional Medicare Part D. It has Symbicort under Tier 3 with a 42 co-pay (422 retail cost). It does not cover the generic so it is full retail cost of 300. I never liked Medicare Advantage plans. With traditional Medicare, you can change your drug plan every year after comparison of plans for your drug costs. SYMBICORT ® (budesonide and formoterol fumarate dihydrate) Inhalation Aerosol In addition, AstraZeneca substantially reduced the list price of SYMBICORT on January 1, 2024. The Company will continue to provide discounts and rebates off the list price to help patients afford its inhaled respiratory medicines. Pay as little as $92.01 for generic Symbicort with RxSaver (free to use). Save up to 80% on your next prescription at local pharmacies. Some major asthma inhaler manufacturers announced $35 a month caps on out-of-pocket costs. The price cap will apply to people with commercial/private insurance (through your job or federal or state marketplace) or no insurance. At some pharmacies, the savings will be automatic. If your pharmacy doesn't participate in the automatic savings, you can use a savings card to get the discount. If … Medicare Part D covers prescription asthma inhalers. Learn which inhalers are covered, what they cost, and how to save money on your asthma medications. However, the popular inhaler Symbicort now has an authorized generic version. If you use Symbicort, you can find the same product at a cheaper cost than the brand version. What is an authorized generic? An authorized generic is the brand-name medication without the brand name on its label.
