Kitabis — Cigna
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