Pulmicort (Budesonide) is hard to find in 2026 due to manufacturer issues and supply shortages. Learn why and what you can do to get your prescription filled.
You went to the pharmacy to pick up your Pulmicort prescription, and the pharmacist told you it's out of stock. Maybe they said they don't know when they'll get more. If that sounds familiar, you're far from the only one dealing with this right now.
Pulmicort — the brand name for the inhaled corticosteroid Budesonide — has been increasingly difficult to find at pharmacies across the country throughout 2025 and into 2026. Whether you use Pulmicort Respules for a nebulizer or the Pulmicort Flexhaler, supply has been unpredictable, and patients are feeling the impact.
Here's what's actually going on, and what you can do about it.
Pulmicort is a prescription inhaled corticosteroid used primarily for the maintenance treatment of asthma. It works by reducing inflammation and swelling in the airways, making it easier to breathe over time.
It comes in two main forms:
Pulmicort is not a rescue inhaler. It's a controller medication meant to prevent asthma attacks when used daily. The generic name is Budesonide, and it's manufactured by AstraZeneca, with generic versions available from companies like Teva.
For more details about how this medication works, see our guide on how Pulmicort works.
Several factors are contributing to the current Pulmicort shortage. Here are the main reasons:
The biggest factor behind the shortage is manufacturing capacity. Teva Pharmaceuticals, one of the primary generic budesonide suppliers, has had certain formulations — especially the 0.5 mg/2 mL inhalation suspension — on intermittent back order. The company has been releasing supplies as they become available, but production hasn't been able to keep up with demand consistently.
AstraZeneca discontinued the Pulmicort Flexhaler 90 mcg formulation, which shifted more patients toward the remaining formulations and generics. When a brand-name option disappears, demand for the remaining products spikes, putting additional pressure on already-strained supply lines.
Asthma medications, including inhaled corticosteroids like Budesonide, see increased demand during cold and flu season and spring allergy season. When supply is already tight, these seasonal surges can make an existing shortage much worse.
Unlike some medications with dozens of generic makers, the number of companies producing generic budesonide inhalation products is relatively small. When even one manufacturer has a supply disruption, the impact on the overall market is significant.
If your pharmacy is out of stock, here are some practical steps you can take:
Instead of calling pharmacy after pharmacy, use Medfinder to check which pharmacies near you currently have Budesonide in stock. It saves time and frustration.
Independent pharmacies and smaller chains sometimes have stock when the big chains don't. Hospital outpatient pharmacies and compounding pharmacies may also be worth checking.
If you truly can't find Pulmicort or generic Budesonide, your doctor may be able to switch you to another inhaled corticosteroid. Options like Flovent (Fluticasone), QVAR (Beclomethasone), Asmanex (Mometasone), or Alvesco (Ciclesonide) work similarly. Read more in our post on alternatives to Pulmicort.
Even if a pharmacy doesn't have Pulmicort on the shelf, the pharmacist may be able to place a special order from their wholesaler. Ask them to check availability and place a back order for you.
Cost can also be a barrier to filling a prescription, especially if you're forced to switch pharmacies. AstraZeneca offers savings programs, and discount cards from services like GoodRx or SingleCare can significantly reduce out-of-pocket costs on generic Budesonide. Learn more in our guide on how to save money on Pulmicort.
The Pulmicort shortage is frustrating, but it's not something you have to navigate alone. Understanding why the supply is limited helps you plan ahead, and there are real steps you can take — from using Medfinder to check stock near you, to working with your doctor on alternatives.
If you're managing asthma, never stop your controller medication abruptly without talking to your doctor first. There are options, and help is available.
For the latest on this shortage, check our Pulmicort shortage update for 2026.
You focus on staying healthy. We'll handle the rest.
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