BUDESONIDE-FORMOTEROL 80-4.5
For 1 g
Pharmacies pay
$15.67 filed
1 × $15.66845 per GM
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
$16.52 filed
1 × $16.52082 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× estimated
Medicare paid 1.1× what pharmacies pay.
Part D averages every strength and form sold under “Budesonide-Formoterol Fumarate” / “Budesonide/Formoterol Fumarate” 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
$23.02 estimated
$15.67 + $2.35 (15%) + $5.00 fee per fill = $23.02
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
BUDESONIDE-FORMOTEROL 80-4.5 is how the CMS NADAC file names this product. The FDA NDC Directory lists it as budesonide and formoterol fumarate dihydrate.
FDA gives its dosage form as “aerosol” and “aerosol, metered” and its route as respiratory (inhalation).
Its labelers, the companies named on the label, are AstraZeneca Pharmaceuticals LP and Teva Pharmaceuticals, Inc.
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 generic drug (rate-setting class G), and does not mark it as sold over the counter.
What pharmacies pay
Pharmacies pay $15.67 for 1 g (1 × $15.66845 per GM, rounded to the cent), 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; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.
What NADAC measures · NADAC explanation codes
All 2 NDCs
- 00310-7372-20 · AstraZeneca Pharmaceuticals LP · $15.66845 per GM · eff. 2026-09-23 filed
- 00480-3080-31 · Teva Pharmaceuticals, Inc. · $15.66845 per GM · eff. 2026-09-23 filed
Other strengths, forms and brands
3 other products in the NADAC file share the FDA nonproprietary name budesonide and formoterol fumarate dihydrate with BUDESONIDE-FORMOTEROL 80-4.5.
| Product | Pharmacies pay per unit | Medicare per unit |
|---|---|---|
| BUDESONIDE-FORMOTEROL 80-4.5 this page | $15.66845 per GM filed | $16.52082 per GM filed |
| BUDESONIDE-FORMOTEROL 160-4.5 | $17.26446 per GM filed | $16.52082 per GM filed |
| SYMBICORT 80-4.5 MCG INHALER | $19.24533 to $19.28281 per GM filed | $21.93901 per GM filed |
| SYMBICORT 160-4.5 MCG INHALER | $21.98404 to $25.45735 per GM filed | $21.93901 per GM filed |
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 $15.66845 per GM filed.
Of the 24 other products in FDA’s beta2-Adrenergic Agonist class priced per GM, 20 have a higher middle NADAC price and 4 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, 30 have a higher middle NADAC price and 92 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 $16.52 for 1 g, at an average of $16.52082 per GM in 2024 (2024-01-01 to 2024-12-31) for “Budesonide-Formoterol Fumarate” and “Budesonide/Formoterol Fumarate”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).
That average covers 1,147,488 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 Part D spending measures · Which Medicare figure OpenBill compares · How the spread is worked out
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.
- What is your cash price for 1 g? Is it lower than what I would pay through my insurance?
- How much is in the package I am getting? This page uses 1 g; your package may hold a different amount.
- If you have Medicare Part D: what is my plan’s copay or coinsurance for it? The Part D average on this page is not what you pay.
- These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.
Questions
- Why is the comparison with Medicare for BUDESONIDE-FORMOTEROL 80-4.5 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 Budesonide-Formoterol Fumarate / Budesonide/Formoterol Fumarate: 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 generic name.
- Why does this page start at 1 g?
- The FDA package description of NDC 00310-7372-20 (“1 POUCH in 1 CARTON (0310-7372-20) / 1 CANISTER in 1 POUCH / 120 AEROSOL in 1 CANISTER”) 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.
Related pages
Its pharmacologic classes
Related in the same class
- TRELEGY ELLIPTA 100-62.5-25
- BREO ELLIPTA 100-25 MCG INHALR
- FLUTICASONE-SALMETEROL 100-50
- BREZTRI AEROSPHERE 160-9-4.8 MCG
- ADVAIR HFA 115-21 MCG INHALER