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No sponsorships, referrals or clinic partnerships
EpiPen, insulin & Ozempic prices refreshed October 2026
Cost comparison only — not medical advice
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Drug Prices

Breo Ellipta Price by Country: $390 in the US, £22 in the UK

Europe sells the same inhaler as Relvar Ellipta. One inhaler lasts 30 days — here is its official price in eight places, and what patients pay.

November 2026 · Updated November 6, 2026 · By Wellness Vision 5 min read 17 sources

Researched with AI assistance; every figure is checked against the primary source cited on this page before publishing. How we work →

Key Takeaways

  • $390 at US pharmacies, $67 for Medicare from 2027. US pharmacies paid about $390 for one 30-dose Breo Ellipta inhaler in early November 2026 (CMS NADAC). Medicare’s negotiated price of $67 for a 30-day supply takes effect on January 1, 2027 — 83% below the 2024 list price of $397, according to CMS.
  • A US generic exists — and still costs far more than Europe. The authorized generic fluticasone furoate/vilanterol (Prasco) cost US pharmacies about $229 per inhaler (NADAC).
  • Europe: about $30 to $55 as Relvar Ellipta. Official prices converted at ECB rates: UK $30, France $32, the Netherlands $34, Germany’s price ceiling $39, Austria $46, Switzerland $55 (our calculation).
  • Medicare’s 2027 price lands near Europe’s. At $67, the negotiated price is about 1.2 times the Swiss price and 2.2 times the UK’s (our calculation: $67 ÷ $55 and $67 ÷ $30).

Breo Ellipta / Relvar Ellipta Price by Country (November 2026)

Breo Ellipta 100/25 mcg (US labelling) is sold in Europe as Relvar Ellipta 92/22 mcg — the same inhaler; Europe states the dose leaving the mouthpiece. One inhaler holds 30 doses, taken once a day, so 30 days = one inhaler. Each country’s own official price; US dollars at European Central Bank reference rates of November 5, 2026. The price types differ — list price, negotiated price, pharmacy acquisition cost, retail price, price ceiling — and are labelled.

One inhaler = 30 doses = 30 days. US: CMS NADAC (as of November 4, 2026; price per blister × 60 blisters, our calculation), CMS negotiated price for 2027 and 2024 list price (fact sheet, November 2025). UK: NHS dm+d. France: BDPM official price excluding dispensing fee (updated November 3, 2026). Germany: Festbetrag list of November 1, 2026. Switzerland: BAG public price. Austria: Erstattungskodex, November 2026 (excl. VAT). Netherlands: Zorginstituut average price (to November 1, 2026). Converted at ECB rates of November 5, 2026 (our calculation).
CountryOfficial price30 days in US dollarsWhat a patient typically pays
🇺🇸 United States (pharmacy cost)Breo $6.49819 per blister; one inhaler = 60 blisters (CMS NADAC, Nov 4, 2026)$390Depends on insurance
🇺🇸 United States (generic)Authorized generic fluticasone furoate/vilanterol (Prasco), $3.82283 per blister (NADAC)$229Depends on insurance
🇺🇸 United States (list, 2024)$397 per 30-day supply, 2024 list price (wholesale acquisition cost, CMS)$397—
🇺🇸 United States (Medicare, 2027)$67 negotiated price per 30-day supply, from Jan 1, 2027 (CMS)$67Depends on the Part D plan
🇬🇧 United KingdomRelvar £22.00 per inhaler (NHS price, since May 1, 2016)$30£9.90 per item in England; free in Scotland, Wales and Northern Ireland
🇫🇷 FranceRelvar €28.38 per inhaler (official price excluding dispensing fee)$3235% of the price unless a complementary insurer covers it (65% reimbursed)
🇩🇪 GermanyStatutory price ceiling (Festbetrag) €34.46 per inhaler; Relvar €36.44 (pharmacy price, list of Nov 1, 2026)$39Co-payment €5–€10 per pack, plus the €1.98 above the ceiling for Relvar
🇨🇭 SwitzerlandRelvar CHF 44.70 per inhaler (public price)$5510% share after the annual deductible
🇦🇹 AustriaRelvar €40.85 per inhaler (social-insurance price excl. VAT; effective price may be lower under a price model)$46€7.55 prescription fee per pack; reimbursed for the listed indications
🇳🇱 NetherlandsRelvar €29.94 per inhaler (average pharmacy price)$34Fully reimbursed; counts toward the annual deductible

We compare prices; we do not recommend where to buy medicine. Whether to start or switch an inhaler is a decision for your doctor.

What the Numbers Mean

Four US prices, four different things

The $390 is what US pharmacies paid on average to buy one Breo Ellipta inhaler in late October and early November 2026 (NADAC); CMS prices it per blister, and one inhaler has two strips of 30 blisters (FDA label). The $229 is the same measure for the authorized generic sold by Prasco. The $397 is the 2024 list price that CMS used for its comparison; GSK does not publish a current list price on its US sites. The $67 is Medicare’s negotiated price for a 30-day supply from January 1, 2027; pharmacies are refunded the difference by the drug maker afterwards (CMS).

The biggest discount in the 2027 round

At 83% below the 2024 list price, Breo’s negotiated discount is among the largest of the 15 drugs, behind Janumet (85%) and Tradjenta (84%). In 2024 about 626,000 people with Medicare Part D used it, and Part D spent $1.4 billion on it before rebates (CMS).

Germany caps what insurers pay

Germany places fluticasone furoate with vilanterol in a reference-price group with other steroid and long-acting beta-agonist combinations. The ceiling for 30 doses of the 92/22 strength is €34.46 (list of November 1, 2026). Insurers pay up to the ceiling minus the co-payment (§ 31 SGB V); Relvar is listed at €36.44, so patients pay the €1.98 difference on top, while GSK’s second brand Revinty Ellipta is listed at exactly the ceiling.

Frequently Asked Questions

How much does Breo Ellipta cost in the US compared with other countries?

US pharmacies paid about $390 for one 30-dose Breo Ellipta inhaler in November 2026, and about $229 for the authorized generic (CMS NADAC). Medicare’s negotiated price from January 1, 2027 is $67 for a 30-day supply (CMS). In Europe the same inhaler is sold as Relvar Ellipta: £22.00 in the UK, €28.38 in France, €29.94 in the Netherlands, €40.85 in Austria (excl. VAT) and CHF 44.70 in Switzerland; Germany’s price ceiling is €34.46 — about $30 to $55 at ECB rates.

Is Relvar Ellipta the same as Breo Ellipta?

Yes. GSK sells the same fluticasone furoate/vilanterol inhaler as Breo Ellipta in the US and as Relvar Ellipta (and Revinty Ellipta) in Europe. The US label states the metered dose (100/25 mcg), the European one the delivered dose (92/22 mcg).

Is there a generic Breo Ellipta?

In the US, an authorized generic sold by Prasco appears in the national pharmacy price survey at about $229 per inhaler (NADAC, November 4, 2026). The UK’s dm+d lists only GSK’s Relvar.

What will Medicare pay for Breo Ellipta in 2027?

CMS negotiated $67 for a 30-day supply, effective January 1, 2027 — 83% below the 2024 list price of $397. What a Medicare patient pays still depends on the Part D plan.

What do patients pay in Germany?

Statutory insurance pays up to the reference price of €34.46 for 30 doses, minus the co-payment of 10% of the price (at least €5, at most €10 per pack; from 2027 €7.50 to €15). Relvar costs €36.44, so patients also pay the €1.98 difference; Revinty Ellipta, the same product, costs exactly the ceiling.

Sources

  1. CMS — Negotiated prices for initial price applicability year 2027 (fact sheet, November 2025): Breo Ellipta $67 negotiated price for a 30-day supply, $397 list price (2024), 83% lower; 626,000 Part D enrollees, $1,428,106,000 gross Part D costs in 2024
  2. CMS — Selected drug list and maximum fair price data file (November 2, 2026): Breo Ellipta 100/25 $1.146551 per unit (blister) from January 1, 2027
  3. CMS — Medicare Drug Price Negotiation Program: final guidance and effectuation of the negotiated price (retrospective refunds from drug makers to pharmacies)
  4. CMS — NADAC, as of November 4, 2026: Breo Ellipta 100-25 $6.49819 per unit; fluticasone-vilanterol 100-25 (Prasco) $3.82283 per unit
  5. FDA label (DailyMed) — Breo Ellipta: inhaler containing 2 foil strips, each with 30 blisters; one inhalation once daily
  6. NHS dm+d — Relvar Ellipta 92/22 micrograms per dose, 30 dose: NHS indicative price £22.00 (since May 1, 2016)
  7. NHS Business Services Authority — prescription charge £9.90 per item (England)
  8. Base de données publique des médicaments — Relvar Ellipta 92/22, 30 doses: €28.38 excluding dispensing fee, 65% reimbursed (updated November 3, 2026); Revinty Ellipta, same holder (GlaxoSmithKline), same price
  9. BfArM / GKV-Spitzenverband — Festbetrag list as of November 1, 2026: fluticasone furoate + vilanterol, 30 doses, ceiling €34.46; Relvar Ellipta 92/22 €36.44; Revinty Ellipta €34.46
  10. Social Code Book V, § 31(2): statutory insurance pays up to the Festbetrag, minus the patient’s co-payment
  11. German Federal Ministry of Health — co-payment for prescription drugs: 10%, at least €5, at most €10
  12. Federal Law Gazette 2026 I No. 228 — new § 61 SGB V: co-payment at least €7.50, at most €15, from January 1, 2027
  13. Federal Office of Public Health (BAG) — Spezialitätenliste: Relvar Ellipta 92/22 mcg, 30 doses, public price CHF 44.70; cost share 10%
  14. Austrian social insurance (Dachverband) — Erstattungskodex monthly data, November 2026: Relvar Ellipta 92/22 mcg, 30 doses, €40.85 (social-insurance price excl. VAT; price model; IND = reimbursed for the listed indications)
  15. oesterreich.gv.at — prescription fee (Rezeptgebühr) €7.55 per pack since January 1, 2026
  16. Zorginstituut Nederland — Medicijnkosten.nl: Relvar Ellipta 92/22 mcg, 30 doses, average price €29.94 per pack, fully reimbursed (updated to November 1, 2026)
  17. European Central Bank — reference rates, November 5, 2026 (1 US dollar = €0.89095 = £0.74299 = CHF 0.81789)

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Wellness Vision Editorial Policy

Wellness Vision does not sell medicine, recommend pharmacies or suppliers, or take payments from drug makers. Every price above comes from the official source cited; currency conversions and 30-day figures are our own calculations, shown with their formula. This is a cost comparison, not medical advice.

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