How Much Is Dulera Without Insurance?
Key takeaways:
Dulera (mometasone / formoterol) is an FDA-approved inhaler that combines an inhaled corticosteroid and a long-acting beta agonist. It’s used for long-term asthma management in adults and children.
Without insurance, one Dulera 200 mcg/5 mcg inhaler costs about $426.44. GoodRx has partnered with Organon, the manufacturer of Dulera, to offer an exclusive discount on the medication, so you might pay as little as $199 for one inhaler with the coupon.
Insurance coverage for Dulera varies by plan type, with most Medicaid and Affordable Care Act plans covering the medication. Prior authorization or step therapy may be required.
Access savings on related medications
Table of contents
Dulera (mometasone / formoterol) is an FDA-approved inhaler used for long-term asthma management in adults and children. It combines an inhaled corticosteroid (ICS) with a long-acting beta agonist (LABA) to help improve breathing.
The medication comes in three dosages and is inhaled through the mouth twice daily. Your prescriber will determine the appropriate dosage based on your age and the severity of your asthma symptoms.
There is no generic version of Dulera, and the medication can cost hundreds of dollars. But savings options like manufacturer programs and GoodRx coupons can help lower your cost.
How much does Dulera cost?
Without insurance or a discount, one Dulera 200 mcg/5 mcg inhaler containing 120 doses costs about $426.44. The amount you pay depends on several factors, including the dose and where you live. If you’re taking the standard dosage of two puffs twice daily, an inhaler should last about 30 days.
Here’s a look at the average retail price for the different doses of Dulera at some pharmacies:
Dulera quantity and form | Dose | Average retail price |
|---|---|---|
1 inhaler (120 doses) | 50 mcg/5 mcg | |
1 inhaler (120 doses) | 100 mcg/5 mcg | |
1 inhaler (120 doses) | 200 mcg/5 mcg |
What factors affect the cost of Dulera?
Factors that affect what you’ll pay for Dulera include:
Location: Prescription prices vary greatly by city. GoodRx data shows that someone in Atlanta may pay less for prescription medications than someone in New Orleans.
Pharmacy: Pharmacies charge differently for prescription medications, even those just blocks apart. Comparing prices can help you find a better deal.
Insurance: Even with insurance coverage, you might still have to pay deductibles, copays, or coinsurance for your medications.
Dosage: Your recommended Dulera dosage will depend on your age and how severe your asthma is. This can affect the overall cost.
Discounts: A manufacturer savings card or a GoodRx coupon can significantly lower what you pay for Dulera at participating pharmacies.
Does insurance cover Dulera?
Most people with Affordable Care Act (ACA) marketplace plans have coverage for Dulera. But some covered enrollees may need prior authorization or step therapy, which involves trying a lower-cost medication first.
Commercial insurance plans cover Dulera for about 7 in 10 enrollees, but prior authorization and step therapy are common with these plans. Nearly everyone enrolled in Medicaid has access to Dulera, with few requiring step therapy.
Medicare coverage is limited, with only about 3 in 5 enrollees having access to Dulera. But prior authorization is rarely required.
Need help paying for your medications? Here are several ways to keep your prescription medication costs down.
Your flexible spending account (FSA) funds cover far more than prescription medications. Find out what you can use your FSA dollars for.
Want to compare Dulera with other asthma inhalers? Our guide explains your inhaler options, with money-saving tips through coupons, copay cards, and patient assistance programs.
To find out how your plan covers Dulera and what your out-of-pocket costs might be, look up the medication in your health plan’s formulary, or call your insurance provider to ask.
How different insurance plans cover Dulera
The table below shows how likely Dulera is to be covered by different types of insurance, along with prior authorization or step therapy requirements:
Insurance type | Enrollees covered for Dulera | Enrollees required to get prior authorization | Enrollees required to do step therapy |
|---|---|---|---|
80.1% | 10% | 8.2% | |
Commercial plans (excluding ACA plans) | 69.6% | 16.9% | 16.1% |
Medicare (original Medicare and Medicare Advantage plans) | 58.3% | 1.7% | 5.2% |
Medicaid, including state-run and managed care plans | 99.8% | 15.4% | 8.1% |
Source: Managed Markets Insight & Technology, LLC™, as of February 11, 2025. (See methodology below.)
If your insurance plan doesn’t cover Dulera, you have several options:
Check if you qualify for financial help through the manufacturer’s savings program or the Patient Access Network (PAN) Foundation (more information below).
Talk to your prescriber about switching to a different ICS-LABA combination inhaler that your insurance might cover or that might have lower out-of-pocket costs.
Ask your insurance to cover Dulera by requesting a formulary exception. Your prescriber will likely need to submit a letter of medical necessity and provide medical reasons for the request.
If the formulary exception request is denied, you can file an appeal to challenge the decision.
During your next open enrollment, compare different plans to find one that offers better coverage for your prescriptions.
Ways to save on Dulera
Here are some ways to save on Dulera, regardless of whether you have insurance:
1. Use the GoodRx exclusive discount
GoodRx has partnered with Organon, the manufacturer of Dulera, to offer an exclusive discount on the medication. Many pharmacies accept these coupons, and you can use the GoodRx website or app to find one near you. To qualify, you must be at least 18 years old, live in the U.S. or Puerto Rico, and pay with cash instead of insurance.
Here’s what you might pay for different doses of Dulera with the discount:
Dulera quantity and form | Dose | GoodRx exclusive discount |
|---|---|---|
1 inhaler (120 doses) | 50 mcg/5 mcg | |
1 inhaler (120 doses) | 100 mcg/5 mcg | |
1 inhaler (120 doses) | 200 mcg/5 mcg |
To get your coupon:
Visit www.goodrx.com or download the app.
Search for “Dulera.”
Click on “Find the lowest prices.”
Choose to receive your coupon by text or email, or print it out.
Remember to show the coupon when dropping off your prescription to make sure you get the savings and avoid delays.
2. Apply for the manufacturer’s savings card
If you have private insurance, you may qualify for the manufacturer’s savings card. With this program, you can pay as little as $15 per prescription for up to 12 times per year. Each prescription can provide up to $90 in savings.
To be eligible, you must:
Have private insurance
Have a valid prescription for Dulera
Live in the U.S., including Puerto Rico
This offer isn’t available if you have government insurance, including Medicare, Medicaid, Tricare, or other state or federal healthcare programs.
3. Check for the PAN Foundation assistance
The PAN Foundation offers up to $1,500 per year to help cover the cost of certain medications, including Dulera. To qualify, you must be receiving asthma treatment and meet certain residency, insurance, and income requirements.
The PAN Foundation has paused new applications or renewals for this program. But it’s worth checking its website regularly for updates.
4. Get a 90-day supply
Switching from a monthly to a 90-day supply of Dulera could help lower your costs in the long run and cut down on trips to the pharmacy. Many insurance plans offer lower copays or bulk discounts for a 3-month prescription. If your insurance covers Dulera, ask if their mail-order pharmacy service offers extra savings.
To make the switch, request a 90-day prescription from a healthcare professional.
5. Pay with your HSA or FSA funds
You can use tax-free money from your health savings account (HSA) or flexible spending account (FSA) to pay for prescription medications, including Dulera. Simply present your HSA or FSA card at the pharmacy counter, or save your receipts for reimbursement.
Keep in mind that FSA funds expire if not used by the deadline, while HSA funds roll over annually.
The bottom line
One Dulera 200 mcg/5 mcg inhaler costs about $426.44 without insurance or discounts. You might pay around $415.27 for one inhaler of the 100 mcg/5 mcg dose and $414.77 for the 50 mcg/5 mcg dose.
To lower your costs, check if you qualify for the manufacturer’s savings card. Other money-saving options include using an exclusive GoodRx coupon and taking advantage of your health savings account or flexible spending account.
Why trust our experts?
Methodology
We obtained national prescription coverage data for each medication from Managed Markets Insight & Technology (MMIT). The data reflects health insurance coverage as of February 2025.
We calculated the percentage of enrollees in plans that cover each medication by dividing the number of enrollees covered for the medication within a specific insurance channel (e.g., ACA, Medicare, Medicaid) by the total number of enrollees in all plans within that channel.
We determined the percentage of enrollees in plans with a prior authorization requirement by calculating the proportion of enrollees in plans that required prior authorization for the medication within each channel.
Finally, we measured the percentage of enrollees in plans with a step therapy requirement by calculating the proportion of enrollees in plans that imposed step therapy requirements for the medication in each channel.
These estimates, derived from national MMIT coverage data, provide insight into health insurance coverage for each medication. They take into account restrictions such as prior authorization, step therapy, and quantity limits. The percentages are expressed relative to the total number of enrollees covered by various insurance channels, including ACA plans, commercial (excluding ACA) plans, Medicare, and Medicaid (both state-run and managed care plans).
References
HealthCare.gov. (n.d.). Appealing a health plan decision.
Medicaid.gov. (n.d.). Managed care.
Organon. (2025). Dulera- mometasone furoate and formoterol fumarate dihydrate aerosol [package insert]. DailyMed.
PAN Foundation. (n.d.). Asthma.
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