Bethkis — Cigna
Bronchiectasis, Non-Cystic Fibrosis
Preferred products
- tobramycin inhalation solution (generic)
Initial criteria
- Patient meets the standard Antibiotics (Inhaled) – Tobramycin Inhalation Solution Prior Authorization criteria; AND
- Patient has tried tobramycin inhalation solution (generic)
Approval duration
1 year