Standard Health Pals Formulary
Fluticasone 232 mcg / Salmeterol 14 mcg Respiclick (Generic for AirDuo Respiclick)
Coverage Level – 100%
Copay – $0
Limitations – No more than 90 days’ supply
Restrictions – Health Pals Mail Order Pharmacy Network
Comments – Generic for Airduo Respiclick