Proair® Medicare Coverage

Proair®

Chemical name: Albuterol

Brand name: Proair®

Typical dosage: 8.5g of 90mcg

Typical type: Inhaler1

Proair® is an inhaler medication used to treat wheezing or shortness of breath from COPD or asthma. Proair is available as a generic or a brand name inhaler.

Proair inhalers contain the active ingredient Albuterol. Proair is used as a rescue inhaler to treat wheezing and shortness of breath associated with COPD or asthma.

This medication is only used during asthma or COPD attacks and is not meant to be a maintenance medication. Proair helps relax the muscles in your throat to make it easier to breathe.

The major side effects of Proair include nervousness, headache, dizziness, vomiting, upset stomach, shakiness, throat irritation and runny nose.

Does Medicare cover Proair?

Yes! 54% of Medicare Advantage plans and Medicare Part D plans cover Proair.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 Proair.

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Average costs for Proair 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.
$42 – $75 $25 – $75

Additional information

Shake and prime the inhaler before the first use. You should also prime the inhaler if you have not used the inhaler for a week or more.

If you have trouble using the inhaler, talk to your pharmacist or doctor about a spacer to help you inhale the medication.

If you are using a Proair rescue inhaler very often, talk to your doctor, as your maintenance medications may need to be adjusted for better control of your asthma or COPD.

If you use this medication and your breathing becomes worse, go to the hospital, as severe breathing problems can occur.  

 

 

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.