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KitabisCigna

Bronchiectasis, Non-Cystic Fibrosis

Initial criteria

  • Patient age ≥ 18 years
  • Patient has Pseudomonas aeruginosa in culture of the airway
  • Medication is prescribed by or in consultation with a pulmonologist

Reauthorization criteria

  • Patient was started on tobramycin inhalation solution and is continuing a course of therapy

Approval duration

initial 1 year; reauth 1 month