What a three-medicine COPD inhaler costs if you have no insurance
What this inhaler is for
This page covers the inhaler that holds fluticasone, umeclidinium and vilanterol, three medicines in one device. MedlinePlus is a health site from the National Library of Medicine. It says the inhaler controls wheezing, shortness of breath, coughing and chest tightness caused by chronic obstructive pulmonary disease, or COPD. COPD is a group of lung diseases that get worse over time, according to the Centers for Disease Control and Prevention. The FDA label also lists it for adults 18 and older with asthma.
It is a daily maintenance inhaler, which means it is used on a schedule to keep symptoms down. It is not a rescue inhaler, and MedlinePlus says not to use it during a sudden COPD or asthma attack. Your doctor prescribes a separate quick-relief inhaler for those moments, and our guide on inhaler costs without insurance covers the price of those.
The maker's list price and its $35 offer
The maker's own website says the list price for a 30-day supply is $697.73. A list price is the starting price that a drug company sets before any discounts. The page cites company data from January 2026. We could not find a cash price from any government source, so this is the best number we have for a full-price purchase.
The maker runs a savings offer that helps people who have no insurance. Under its terms, an uninsured patient who gives the coupon to a participating pharmacy pays no more than $35 for each inhaler. The offer is good for up to 12 inhalers per product, it covers one person, and you need a valid prescription. People enrolled in Medicare, Medicaid, VA or military health plans cannot use it, even if they choose to pay cash. The maker announced this $35 cap on March 20, 2024 for its asthma and COPD inhalers.
These rules can change, so check the maker's site and ask the pharmacist to run the coupon before you commit to the purchase.
A program that provides the medicine at no cost
A patient assistance program tied to the maker says it helps eligible people get certain of its medicines at no cost. To qualify, you must be uninsured, or have Medicare and meet other rules, and you must meet its income limits. You must live in the United States or Puerto Rico and be treated by a clinician licensed in the United States.
The program page does not say whether this inhaler is included. It starts with a short screener where you type in the name of the medicine you were prescribed. Your doctor's office often helps with the application, so ask the staff before you pay for a full-price inhaler.
What Medicare drug plans and pharmacies pay
The Centers for Medicare and Medicaid Services, a federal health agency, reports what Medicare drug plans and their members spent per fill. In 2024, this inhaler averaged $846.99 per fill across about 6.25 million fills. A fill can hold more than one inhaler, such as a 90-day supply, so the average is higher than a single month.
Medicaid also runs a weekly price survey called NADAC. In the week of October 21, 2026, the federal survey put the pharmacy cost at about $669 for one inhaler, which holds a month of doses. The FDA label says each inhaler has two strips of 30 blisters, and each daily dose uses one blister from each strip. Your pharmacy adds its own costs, so the price you pay without a coupon is higher.
Is a generic version available?
We found no sign of a generic version for sale in the United States. The Medicaid survey lists only the brand-name product, and FDA records show one approved application for it, held by the maker. Without a generic, nothing pushes the price down through competition. Please ask your pharmacist whether that has changed lately.
If you have Medicare
The maker's $35 offer is closed to people with Medicare. Medicare.gov says that in 2026 your costs for covered drugs move to the catastrophic stage once your out-of-pocket spending reaches $2,100. It also offers a payment plan that spreads your costs across the year, though it does not lower your total. Your plan sets the price you pay before then, so look at its drug list.
More ways to pay less
Ask your doctor whether cost is a reason to talk about other options. That choice belongs to you and your doctor, and this page cannot tell you what is right for your lungs. Our guide on asking for the cash price has a script for the pharmacy call.
A community health center may help as well. The Health Resources and Services Administration (HRSA) says health centers can buy outpatient drugs at reduced prices through a federal program called 340B. HRSA does not say how much of the saving reaches patients, so ask what the center charges. Our guide on community health centers explains how to find one, and our health center finder can help you search. A cash-pay doctor with a monthly membership can also manage refills and check-ins. Direct primary care usually costs $50 to $200 a month, and you can search for a cash-pay doctor near you.
Please do not stop this inhaler on your own
MedlinePlus says not to stop using this inhaler without talking to your doctor, because your symptoms may come back. If cost is the problem, call your doctor's office before you run out and say so.
MedlinePlus says to get emergency medical treatment for swelling of the face, throat or tongue. It says the same for coughing, wheezing or chest tightness that starts right after you use the inhaler. If you have severe trouble breathing, call 911 or go to the nearest emergency room right away. This page gives general information and is not medical advice.
Common questions
How much does this COPD inhaler cost without insurance?
The maker lists a 30-day supply at $697.73. Its savings offer caps the cost at $35 per inhaler for eligible uninsured adults, for up to 12 inhalers. It is not available to people on Medicare or Medicaid.
Can I buy this inhaler directly from the drug maker?
We did not find a direct-to-patient store on the maker's pages. The maker offers a coupon for use at a participating pharmacy. A related patient assistance program provides some of its medicines at no cost, so check whether it includes this inhaler.
Is there a generic version?
We found no sign of a generic on sale in the United States. Medicaid's drug cost survey lists only the brand-name product.
Is there a way to get it for free?
The maker's patient assistance program provides certain medicines at no cost to eligible people who are uninsured or have Medicare. The program page does not say whether this inhaler is covered, so use its screener or ask your doctor's office.
Does Medicare cover this inhaler?
Many Medicare drug plans list it, and plans spent an average of $846.99 per fill in 2024. Each plan sets its own cost, so check your plan's drug list. In 2026, Medicare's out-of-pocket limit for covered drugs is $2,100.
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This guide is general information, not medical, legal or tax advice. If you have a medical emergency, call 911.