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Pulmonary – Corticosteroid/Long-Acting Beta2-Agonist Combination Inhalers — Medica

Asthma

Initial criteria

  • Patient has a diagnosis of asthma OR chronic obstructive pulmonary disease (COPD)
  • Coverage is not recommended for other conditions including whooping cough/pertussis, ACE inhibitor–induced cough, psychogenic cough/habit cough/tic cough, or other non‑listed circumstances

Reauthorization criteria

  • Patient continues to meet initial authorization criteria