COST OF SOME DRUGS FOR MAINTENANCE TREATMENT OF ASTHMA Adult Pediatric Drug Formulation Dosage Dosage[1] Cost[2] ---------------------------------------------------------------------------- Beta-adrenemgic Salmeterol - Serevent metered-dose 2 puffs bid 1-2 bid $58.33 (Glaxo Wellcome) inhaler (21 mg/puff) Serevent Diskus dry-powder 1 inhalation bid 63.85 inhaler (50 mg/inhalation) Inhaled Corticosteroids Beclomethasone dipropionate metered-dose inhaler Beclovent (Glaxo Wellcome) (42 mg/puff)4-8 puffs bid 2-4 puffs bid 39.79 Vanceril (Key) 45.92 Vanceril Double-Strength (Key) (84 mg/puff)2-4 puffs bid 1-2 puffs bid 48.88 Budesonide Pulmicort Turbuhaler (Astra) dry-powder inhaler1-2 inhalations 1-2 inhalations 32.10 (200 mg/inhalation) bid bid Flunisolide - Aerobid (Forest) metered-dose inhaler2-4 puffs bid 2 puffs bid 71.57 (250 mg/puff) Fluticasone propionate - Flovent metered-dose inhaler2-4 puffs bid 1-2 puffs bid 43.40 (Glaxo Wellcome) (44, 110 or 220 mg/puff) (44 mg/puff)(44 mg/puff) Flovent Rotadisk dry-powder inhaler 1 inhalation bid 1 inhalation bid 43.40 (50, 100 or 250 mg/in- (100 mg/inhala- (50 mg/inhala- halation) tion) tion) Triamcinolone acetonidemetered-dose inhaler 2 puffs tid-qid 1-2 puffs tid-qid Azmacort (Rhone-Poulenc Rorer) (100 mg/puffl or 4 puffs bid or 4 puffs bid 35.46 Cromolyn sodium Intal (Rhone-Poulenc Rorer)metered-dose inhaler 2-4 puffs qid2-4 puffs qid 83.16 (800 mg/puff) Leukotriene modifiers Montelukast - Singulair (Merck) tablets 10 mg once/day5 mg once/day 66.96 Zafirlukast - Accolate (Zeneca) tablets 20 mg bid 55.86 Zileuton - Zyflo (Abbott) tablets 600 mg qid 82.53 Nedocromil sodium Tilade (Rhone-Poulenc Rorer)metered-dose inhaler 2 puffs qid2 puffs qid 69.34 0.75 mg/puffl Theophylline - average generic price extended- re I ease cap- 300-600 mg/day 10 mg/kg/day~'_-8.02 Slo-Bid Gyrocaps (Rh6ne-Poulenc Rorer) sules or tablets 14.50 Unidur (Key) 400-600 mg/day 31.98 Theo-Dur (Key) 300-600 mg/day 11.66 1. Less than 40 kg. 2. Cost of 30 days' treatment with the lowest recommended adult dosage, according to wholesale price (AWP) listings in Drug To- pics Red Book 1998 and JuJy Update. 3. Based on a 44 mg-puff dose (also available in 110 mg and 220 mg strengths). 4. Starting dose. Usual maximum is 16 mg/kg/day in children more than 1 year old and 0.2 (age in weeks) + 5 mg/kg/day in infants