- Prior Authorization Required
- COPD (oral):
Duration: 12 Month(s)
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
COPD associated with chronic bronchitis: No
History of COPD exacerbation: No
Documented Diagnosis: Yes
- Step Therapy: COPD (oral):
1 of [Spiriva Respimat, Spiriva With HandiHaler] and Incruse Ellipta
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