BREZTRI
Generic: budesonide, glycopyrrolate, and formoterol fumarate
- NDC
- 0310-4616
- RxCUI
- 2387326
- Route
- RESPIRATORY (INHALATION)
- ICD-10 indication
- J44.9
Affordability Check
How much will you actually pay for BREZTRI?
In 30 seconds, see every legitimate way to afford BREZTRI — Medicare copay, manufacturer copay card, Patient Assistance Program, grants, or cash.
About BREZTRI
What is this medication?
BREZTRI AEROSPHERE is a prescription inhalation medicine used for the long-term maintenance treatment of chronic obstructive pulmonary disease, also known as COPD. This condition includes chronic bronchitis and emphysema. The medication contains three active ingredients: budesonide, glycopyrrolate, and formoterol fumarate. These components work together to reduce inflammation in the lungs and help keep the airways open, which improves breathing and lung function for adults living with this chronic condition.
This medication is specifically designed to help prevent or reduce the frequency of COPD flare-ups or exacerbations. It is intended for regular use and should be taken twice daily as directed by a healthcare provider. It is important to note that BREZTRI is not a rescue medicine and should not be used to treat sudden breathing problems or acute attacks. Patients should always have a separate rescue inhaler available for the treatment of sudden symptoms.
Copay & patient assistance
- Patient Copay Amount: As low as $0 for each 30-day supply (1 inhaler)
- Maximum Annual Benefit Limit: Not Publicly Available (Subject to a maximum savings limit)
- Core Eligibility Restrictions: Must have commercial (private) insurance. Patients enrolled in state or federally funded prescription insurance programs (including Medicare Part D, Medicaid, Medigap, VA, DOD, or TriCare) are not eligible. Must be a resident of the United States or a U.S. Territory.
- RxBIN, PCN, and Group numbers: Not Publicly Available (Claims are processed via Pharmacy Data Management Inc as a secondary payer using Other Coverage Code 8)
External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.
Compare pricing elsewhere
RxCopays doesn't sell drugs or take referral fees. Here are the transparent-pricing directories we recommend checking alongside your insurance formulary.
Cost Plus Drug Company
Mark Cuban's transparent-pricing pharmacy — manufacturer cost + 15% markup + $5 dispensing fee. No insurance needed. Search alphabetically for budesonide, glycopyrrolate, and formoterol fumarate.
Browse Cost Plus medications →
GoodRx
Compare local pharmacy prices with GoodRx coupons. Use the price with your insurance or without — whichever is cheaper.
Lookup BREZTRI →
NeedyMeds
Independent nonprofit directory of patient assistance programs, copay cards, and charity co-pay foundations.
Search for budesonide, glycopyrrolate, and formoterol fumarate →
RxAssist
PAP directory maintained by Volunteers in Health Care at Brown University. Free, no ads.
Search PAPs →
We deep-link because transparency helps patients. None of these partners pay RxCopays.
Conditions we've indexed resources for
Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.
Medicare Part D coverage
How BREZTRI appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-08-31).
Covered by plans
75%
4,120 of 5,499 plans
Most common tier
Tier 3
On 77% of covering formularies
Prior authorization required
0%
of covering formularies
| Tier | Formularies on this tier | Share |
|---|---|---|
| Tier 1 (preferred generic) | 58 | 19% |
| Tier 2 (generic) | 9 | 3% |
| Tier 3 (preferred brand) | 236 | 77% |
| Tier 4 (non-preferred brand) | 2 | 1% |
Step therapy: 0% of formularies
Quantity limits: 98% of formularies
Coverage breadth: 305 of 65 formularies
How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).
Prior authorization & coverage
| Payer | PA | Step therapy | Copay tier |
|---|---|---|---|
— Medicare Part D | — | — | — |
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How this page is sourced
- Drug identity verified against openFDA NDC Directory.
- Label text (when shown) originates from NLM DailyMed.
- Copay and assistance URLs verified periodically; if you hit a broken link, tell us.