Benefily
No prior authorization

Does Geisinger Health Plan require prior authorization for Advair?

Geisinger Health Plan does not require prior authorization for Advair on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

  • This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair]8961850 / 9000Not on formulary
60 ACTUAT fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair]8962120 / 9000Not on formulary
60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Advair]8962290 / 9000Not on formulary
120 ACTUAT fluticasone propionate 0.045 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]8962379 / 9000No prior authorization
120 ACTUAT fluticasone propionate 0.115 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]8962459 / 9000No prior authorization
120 ACTUAT fluticasone propionate 0.23 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]8962739 / 9000No prior authorization

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — 120 ACTUAT fluticasone propionate 0.045 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]

Advair has 6 products in the corpus; this table is for 120 ACTUAT fluticasone propionate 0.045 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Geisinger Gold Classic 360 Rx (HMO)H3954-1603NoNoNo
Geisinger Gold Classic Advantage Rx (HMO)H3954-1573NoNoNo
Geisinger Gold Classic Advantage Rx (HMO)H3954-1573NoNoNo
Geisinger Gold Classic Advantage Rx (HMO)H3954-1573NoNoNo
Geisinger Gold Classic Complete Rx (HMO)H3954-1583NoNoNo
Geisinger Gold Classic Complete Rx (HMO)H3954-1583NoNoNo
Geisinger Gold Classic Essential Rx (HMO)H3954-1613NoNoNo
Geisinger Gold Secure Rx (HMO D-SNP)H3954-0973NoNoNo
Geisinger Gold Value Rx (HMO)H3954-1633NoNoNo
Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Advair at other payers

Or see Advair across every payer at once.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.