Does Pennsylvania Medicaid
Cover Breo Ellipta?

Breo Ellipta (Fluticasone Furoate/Vilanterol) coverage, costs, and how to get it in Pennsylvania.

Covered (Prior Auth)
Medicaid Status
Covered (Prior Auth)
Medicare Status
$370
Retail/Month

Coverage Status

Breo Ellipta coverage details for Pennsylvania residents.

Medicaid
Covered (Prior Auth)
Medicare Part D
Covered (Prior Auth)
Prior Authorization
Required
Cost with Coverage
$20โ€“$80/mo
๐Ÿ’ก

Most combination inhalers require prior authorization. Generic and single-agent inhalers may be covered without PA.

How to Get Breo Ellipta Covered

Steps to get Breo Ellipta covered by your insurance in Pennsylvania.

1

Talk to your doctor

Ask your doctor to prescribe Breo Ellipta and confirm it's appropriate for your condition.

2

Submit prior authorization

Your doctor's office will submit a prior authorization to Pennsylvania Medicaid. This typically takes 3-5 business days.

3

Check patient assistance

If coverage is denied, check GlaxoSmithKline's patient assistance program for free or reduced-cost options.

4

Appeal if needed

You can appeal a coverage denial through Pennsylvania Medicaid. Your doctor can provide supporting documentation.

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Breo Ellipta Side Effects

Common and serious side effects to discuss with your doctor.

โšก Common Side Effects

  • Oral thrushcommon
  • Headachecommon
  • Upper respiratory infectioncommon
  • Nasopharyngitiscommon

โš ๏ธ Serious Side Effects

  • Pneumoniauncommon

Seek immediate medical attention if you experience any serious side effects.

Frequently Asked Questions

Does Pennsylvania Medicaid cover Breo Ellipta?

Pennsylvania Medicaid covered (prior auth) Breo Ellipta. Prior authorization is required. Most combination inhalers require prior authorization. Generic and single-agent inhalers may be covered without PA.

How much does Breo Ellipta cost in Pennsylvania?

Without insurance, Breo Ellipta costs approximately $370/month. With Pennsylvania Medicaid, your copay may be $0-$20.

How do I get Breo Ellipta covered in Pennsylvania?

Contact your Pennsylvania Medicaid office or insurance provider to check coverage. Your doctor will need to submit a prior authorization request.

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