Articles

GSK to Discontinue Branded Flovent

On December 31, 2023, GSK intends to discontinue branded Flovent HFA (all strengths) and Flovent Diskus (all strengths). The last shipment to wholesalers will occur on or around December 15, 2023

According to the Food and Drug Administration (FDA), GlaxoSmithKline (GSK) is discontinuing production of Flovent HFA (fluticasone propionate) and Flovent Diskus. Flovent HFA and Flovent Diskus are inhaled corticosteroid medicines used as a controller medicine to treat asthma.

GSK notified the FDA of this decision on June 2, 2023. The last date the product will be available for ordering is Dec. 31, 2023. GSK believes a supply of these products will be gone by early 2024.

Brand Flovent will be removed from 340B Price Guide on December 31, 2023.

 

Pharmacist Letter March 2023

The chart below includes ICS approved for asthma including  non-340B costs:

nhaled Corticosteroids: Low/medium/high doses based on the Global Initiative for Asthma Management and Prevention, 2022 (reference 3) unless otherwise referenced. Information may differ from prescribing information.

Drug/Availability/Cost(US)

Drug/Availability/Cost(Canada)

Pediatric Dose

Adult Dose (≥12 years)

Beclomethasone HFA MDI

(Qvar RediHaler)

40 mcg/puff ($200)

80 mcg/puff ($267)

120 puffs each

Beclomethasone HFAMDI (Qvar)

50 mcg/puff ($40)

100 mcg/puff ($80)

200 puffs each

6 to 11 years:

Low daily dose: ≤100 mcg

Medium daily dose: 101 to 200 mcg

High daily dose: >200 mcg

Low daily dose: ≤200 mcg

Medium daily dose: 201 to 400 mcg

High daily dose: >400 mcg

Budesonide DPI

(Pulmicort Flexhaler)

90 mcg/inhalation ($190)

180 mcg/inhalation ($255)

120 inhalations each

Budesonide DPI

(Pulmicort Turbuhaler)

100 mcg/inhalation ($36)

200 mcg/inhalation ($74)

400 mcg/inhalation ($107)

200 inhalations each

6 to 11 years:

Low daily dose: ≤200 mcg

Medium daily dose: 201 to 400 mcg

High daily dose: >400 mcg

Low daily dose: ≤400 mcg

Medium daily dose: 401 to 800 mcg

High daily dose: >800 mcg

Budesonide inhalation suspension

(Pulmicort Respules, generics)

0.125 mg/mL ($5/ampule)

0.25 mg/mL ($5/ampule)

0.5 mg/mL ($13/ampule)

2 mL ampules, packs of 30

Budesonide inhalation suspension (Pulmicort Nebuamp, generic)

0.125 mg/mL ($0.5/ampule)

0.25 mg/mL ($1/ampule)

0.5 mg/mL ($2/ampule)

2 mL ampules, packs of 20

6 to 11 years:

Low daily dose: 0.25 to 0.5 mg

Medium daily dose: >0.5 to 1 mg

High daily dose: >1 mg

Not indicated.

Ciclesonide HFA MDI

(Alvesco)

80 mcg/puff ($27)

160 mcg/puff ($27)

60 puffs each

Ciclesonide HFA MDI

(Alvesco)

100 mcg/puff ($52)

200 mcg/puff ($86)

120 puffs each

6 to 11 years:

US:

Low daily dose: 80 mcg

Medium daily dose: 81 to 160 mcg

High daily dose: >160 mcg

Canada:4

Low/medium daily dose: 100 mcg

High daily dose: >200 mcg

US:

Low daily dose: ≤160 mcg

Medium daily dose: 161 to 320 mcg

High daily dose: >320 mcg

Canada:4

Low daily dose: ≤200 mcg

Medium daily dose: 201 to 400 mcg

High daily dose: >400 mcg

Fluticasone propionate HFA MDI

(Flovent HFA, generic)

44 mcg/puff ($135)

110 mcg/puff ($180)

220 mcg/puff ($275)

120 puffs each

Fluticasone propionate HFA MDI

(Flovent HFA, generic)

50 mcg/puff ($31)

125 mcg/puff ($53)

250 mcg/puff ($106)

120 puffs each

6 to 11 years:

Low daily dose: ≤100 mcg

Medium daily dose: 101 to 200 mcg

High daily dose: >200 mcg

Low daily dose: ≤250 mcg

Medium daily dose: 251 to 500 mcg

High daily dose: >500 mcg

Fluticasone propionate DPI

Flovent Diskus:

  • 50 mcg/inhalation ($195)
  • 100 mcg/inhalation ($205)
  • 250 mcg/inhalation ($275)

60 inhalations each

ArmonAir Digihaler:

  • 55 mcg/inhalation ($250)
  • 113 mcg/inhalation ($250)
  • 232 mcg/inhalation ($315)

60 inhalations each

Fluticasone propionate DPI

Flovent Diskus:

  • 100 mcg/inhalation ($31)
  • 250 mcg/inhalation ($53)
  • 500 mcg/inhalation ($82)

60 inhalations each

Aermony Respiclick:

  • 55 mcg/inhalation ($18)
  • 113 mcg/inhalation ($33)
  • 232 mcg/inhalation ($52)

60 inhalations each

6 to 11 years:

Low daily dose: ≤100 mcg

Medium daily dose: 101 to 200 mcg

High daily dose: >200 mcg

Low daily dose: ≤250 mcg

Medium daily dose: 251 to 500 mcg

High daily dose: >500 mcg

Fluticasone furoate DPI

(Arnuity Ellipta)

50 mcg/inhalation

  • 30 blisters ($178.77)

100 mcg/inhalation

  • 14 blisters ($83.42)b
  • 30 blisters ($178.77)

200 mcg/inhalation

  • 14 blisters ($111.69)b
  • 30 blisters ($239.33)

Fluticasone furoate DPI

(Arnuity Ellipta)

100 mcg/inhalation ($46)

200 mcg/inhalation ($92)

30 inhalations each

6 to 11 years:

Low/medium daily dose: 50 mcg

High daily dose: not applicable

Low/medium daily dose: 100 mcg

High daily dose: 200 mcg

Mometasone DPI

(Asmanex Twisthaler)

110 mcg/inhalation

  • 30 inhalations each ($185)

220 mcg/inhalation

  • 14 inhalations each ($80)b
  • 30 inhalations each ($200)
  • 60 inhalations each ($235)
  • 120 inhalations each ($340)

Mometasone DPI

(Asmanex Twisthaler)

100 mcg/inhalation

  • 30 inhalations each ($40)

200 mcg/inhalation

  • 60 inhalations each ($40)

400 mcg/inhalation

  • 30 inhalations each ($40)
  • 60 inhalations each ($80)

Per product labeling (4 to 11 years):

US: 110 mcg once daily

Canada: 100 mcg once daily

Low daily dose: 200 mcg

Medium daily dose: 200 mcg

High daily dose: 400 mcg

Mometasone HFA MDI

(Asmanex HFA)

50 mcg/puff ($185)

100 mcg/puff ($200)

200 mcg/puff ($235)

120 puffs each

Not available.

6 to 11 years:

Low/medium daily dose: 100 mcg

High daily dose: 200 mcg

Low/medium daily dose: 200 to 400 mcg

High daily dose: >400 mcg

The 340B Drug Pricing Program is managed by the Health Resources and Services Administration (HRSA) Office of Pharmacy Affairs (OPA). For more information visit: www.hrsa.gov/opa This material is provided for general informational purposes of 340B Drug Prices only and is not an endorsement of any prescription product referenced herein. For information as to the clinical use or efficacy of a referenced product, please contact the manufacturer. 340B Price Guide makes no representations and provides no warranties as to the effectiveness or suitability for use of any prescription product referenced herein. Any referenced cost is provided as an estimate only and the actual cost is subject to change at any time and without notice. 340B Price Guide does not guarantee that the cost represented herein will be the actual and pharmacy shall at all times collect amounts due as indicated at the time of adjudication and shall be reimbursed per the terms of its agreement.'