OpenBilldrug price receipt

NADAC week of 2026-10-14

ADVAIR HFA 115-21 MCG INHALER

FDA nonproprietary name: fluticasone propionate and salmeterol xinafoate

For 1 g

Pharmacies pay

$18.73 – $25.39 filed

1 × $18.73125 to $25.39279 per GM (the 2 NDCs differ)

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$28.71 filed

1 × $28.71328 per GM, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

1.1× – 1.5× estimated

Medicare paid between 1.1× and 1.5× what pharmacies pay, depending on the NDC.

Part D averages every strength and form sold under “Advair HFA” / “Fluticasone Propion/Salmeterol” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$26.54 – $34.20 estimated

NADAC for the pack + 15% + $5.00 fee per fill

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

ADVAIR HFA 115-21 MCG INHALER is how the CMS NADAC file names this product. The FDA NDC Directory lists it as fluticasone propionate and salmeterol xinafoate, under the trade name “ADVAIR HFA”.

FDA gives its dosage form as aerosol, metered and its route as respiratory (inhalation).

The labeler, the company named on the label, is GlaxoSmithKline LLC.

FDA lists it under 2 Established Pharmacologic Classes: beta2-Adrenergic Agonist and Corticosteroid.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $18.73 – $25.39 for 1 g, depending on the NDC ($18.73125 to $25.39279 per GM), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $20.70767 per GM filed.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

All 2 NDCs

Other strengths, forms and brands

5 other products in the NADAC file share the FDA nonproprietary name fluticasone propionate and salmeterol xinafoate with ADVAIR HFA 115-21 MCG INHALER.

ProductPharmacies pay per unitMedicare per unit
ADVAIR HFA 45-21 MCG INHALER
brand · aerosol, metered
$19.9752 to $20.01825 per GM filed
eff. 2026-09-23
$28.71328 per GM filed
Part D 2024 average
ADVAIR HFA 115-21 MCG INHALER this page
brand · aerosol, metered
$18.73125 to $25.39279 per GM filed
eff. 2026-09-23
$28.71328 per GM filed
Part D 2024 average
ADVAIR HFA 230-21 MCG INHALER
brand · aerosol, metered
$30.53125 to $35.01808 per GM filed
eff. 2026-09-23
$28.71328 per GM filed
Part D 2024 average
FLUTICASONE-SALMETEROL 45-21
generic · aerosol, metered
$16.6775 per GM filed
eff. 2026-09-23
We don’t know yet
FLUTICASONE-SALMETEROL 115-21
generic · aerosol, metered
$20.70767 per GM filed
eff. 2026-09-23
We don’t know yet
FLUTICASONE-SALMETEROL 230-21
generic · aerosol, metered
$26.74598 per GM filed
eff. 2026-09-23
We don’t know yet

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $18.73125 per GM filed.

Of the 24 other products in FDA’s beta2-Adrenergic Agonist class priced per GM, 16 have a higher middle NADAC price and 8 a lower one. The one in the middle is BREYNA 160-4.5 MCG INHALER, at $21.61843 per GM filed (eff. 2026-09-23).

Of the 122 other products in FDA’s Corticosteroid class priced per GM, 25 have a higher middle NADAC price and 97 a lower one. The one in the middle is CALCIPOTRIENE-BETAMETHASONE DP 0.005%-0.064% OINTMENT, at $1.43306 per GM filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $28.71 for 1 g, at an average of $28.71328 per GM in 2024 (2024-01-01 to 2024-12-31) for “Advair HFA” and “Fluticasone Propion/Salmeterol”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 715,505 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for ADVAIR HFA 115-21 MCG INHALER labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Advair HFA / Fluticasone Propion/Salmeterol: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's GM. Joined on brand name.
Why does this page start at 1 g?
The FDA package description of NDC 00173-0716-20 (“1 INHALER in 1 CARTON (0173-0716-20) / 120 AEROSOL, METERED in 1 INHALER”) does not give one amount in g, NADAC’s unit for this product. So the card starts at 1 GM; change it to match your prescription.