Fluticasone Propionate (Flonase) Medicare Coverage

Fluticasone Propionate
Chemical name: Fluticasone Propionate

Brand name: Flonase

Typical dosage: 16mg of 50mcg

Typical type: Nasal spray1

Fluticasone propionate is a medication typically used to treat asthma and allergies. It comes as an oral inhalation or a nasal spray. Fluticasone is the generic equivalent of Flonase.

Fluticasone Propionate is a medication primarily used to treat allergies. Its brand name equivalent is called Flonase.

Fluticasone is a corticosteroid inhalation that has anti-inflammatory effects and relaxes blood vessels to help you breathe better.

The major side effects of Fluticasone Propionate include headache, fatigue, nose and throat irritation, flu-like symptoms, upset stomach, diarrhea and muscle pain.

Does Medicare cover Fluticasone Propionate or Flonase?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Fluticasone Propionate.1

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.2

  • Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Fluticasone Propionate.

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Average costs for Fluticasone Propionate with Medicare drug coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.		 After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
$2 – $20 Free – $20

Additional information

It may help to blow your nose before using the spray. Try to avoid spraying the medicine in your eyes.

Rinse your mouth out after each time you use fluticasone propionate. Rinse with water and spit the water out.

Use this medication with caution if you have cataracts or glaucoma. This medication may put you at a higher risk for pneumonia.  

 

 

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

 

Written by Hayden Gharibyar, Pharm.D.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 GoodRx. Fluticasone Propionate. Retrieved May 2019, from www.goodrx.com/fluticasone-propionate.

2 Jacobson, Gretchen; et al. A Dozen Facts About Medicare Advantage. (Nov. 13, 2018). Kaiser Family Foundation. Retrieved from www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.