Trelegy Ellipta® Medicare Coverage

Trelegy Ellipta®
Chemical name: Fluticasone/Umeclidinium/Vilanterol

Typical dosage: 100mcg/62.5mcg/25mcg

Typical type: Inhaler1

Trelegy Ellipta® is a medication typically used to treat COPD. It is a brand name medication and is available as an inhaler with a dry powder for inhalation.

Trelegy Ellipta is a prescription medication that contains the active ingredients Fluticasone, Umeclidinium and Vilanterol.

Trelegy Ellipta is inhaled once daily for the maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD) – including bronchitis and/or emphysema – and to reduce COPD exacerbations in patients with a history of exacerbations.

Trelegy Ellipta works to reduce inflammation and to cause the throat muscles to relax.

The major side effects of Trelegy Ellipta include headache, diarrhea or constipation, back and joint pain, flu like symptoms and respiratory problems.

Does Medicare cover Trelegy Ellipta?

Yes! 80% of Medicare Advantage plans and Medicare Part D plans cover Trelegy Ellipta.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 Trelegy Ellipta.

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Average costs for Trelegy Ellipta 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 – $628 $19 – $628

Additional information

Trelegy Ellipta can cause a mouth infection called thrush. To avoid getting thrush, rinse your mouth out with water after each use. Do not swallow the water.

Try to take Trelegy Ellipta at the same time of day every day and do not miss doses.

Call your doctor right away if your breathing problems get worse or if you have any signs of pneumonia.

Trelegy Ellipta can increase the risk of infection. Wash your hands often and avoid sick people as much as possible.

Long term use can increase the risk of cataracts or glaucoma. Talk to your doctor and have eye exams as instructed.

 

 

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.