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Breztri Aerosphere Prices, Coupons, Copay Cards & Patient Assistance

Breztri Aerosphere (budesonide/formoterol/glycopyrrolate) is a member of the bronchodilator combinations drug class and is commonly used for COPD, and COPD - Maintenance.

Breztri Aerosphere is available as a brand name drug only, a generic version is not yet available. View generic Breztri Aerosphere availability for more details.

Breztri Aerosphere prices

Inhalation Aerosol

160 mcg-4.8 mcg-9 mcg/inh Breztri Aerosphere inhalation aerosol from $401.16 for 5.9 grams
Quantity Per unit Price
5.9 grams $67.99 $401.16
10.7 grams $67.23 $719.36

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

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Breztri Aerosphere Coupons, Copay Cards and Rebates

Breztri Aerosphere offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional.

Breztri Aerosphere Zero Pay Card

Eligible commercially insured patients with no coverage may pay as little as $0 per 30-day supply (1 inhaler).

Applies to:
Breztri Aerosphere
Number of uses:
Per prescription until program expires

Form more information phone: 833-458-0440 or Visit website

Healthcare professionals may order samples of Breztri Aerosphere by logging into the AstraZeneca Sample Closet website and creating an account; link is found on the right-hand side of the website.

Applies to:
Breztri Aerosphere
Number of uses:
Per length of program

Form more information phone: 800-236-9933 or Visit website

Breztri Aerosphere Mail-Order Reimbursement

Eligible commercially insured patients with no coverage may request reimbursement if their insurance offers a mail-order option.

Applies to:
Breztri Aerosphere
Number of uses:
Per prescription until program expires

Form more information phone: 833-458-0440 or Visit website

Patient Assistance & Copay Programs for Breztri Aerosphere

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: AZ&Me Prescription Savings Program for people without insurance

Eligibility requirements:
  1. Must have no prescription coverage for needed medication
  2. Varies
  3. Not required
  4. The patient must also be a US resident.
  5. People who are in Medicare and may be eligible for the Limited Income Subsidy can apply. However, if they are accepted into the LIS, they are no longer eligible for the AZ& Me Prescription Savings Program. Eligibility determined on a case-by-case basis.
Applicable drugs:
  • Breztri Aerosphere (budesonide/formoterol fumarate/glycopyrrolate) Inhalation Aerosol

More information please phone: 800-292-6363 Visit website

Provider: AZ&Me Prescription Savings Program for people with Medicare Part D

Eligibility requirements:
  1. Contact program for details.
  2. Varies
  3. Not required
  4. The patient must also be a US resident.
  5. Eligibility determined on a case-by-case basis. *Patient must participate in Medicare Part B, Medicare Part D or Medicare Advantage This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Contact program for details.
Applicable drugs:
  • Breztri Aerosphere (budesonide/formoterol fumarate/glycopyrrolate) Inhalation Aerosol

More information please phone: 800-292-6363 Visit website

Provider: Patient Access Network Foundation (PAN)

Eligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Breztri Aerosphere (budesonide/formoterol fumarate/glycopyrrolate) Inhalation Aerosol

More information please phone: 866-316-7263 Visit website

Disclaimer: Medication pricing is sourced from a variety of providers. Pricing may vary significantly due to several factors including brand or generic status, insurance coverage, pharmacy choice, location, and manufacturer pricing policies. Prices are subject to change. For the most accurate and up-to-date information, always consult directly with your pharmacy or healthcare provider.

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