Limited Use Note(s) |
|
SALMETEROL XINAFOATE50mcg Pd Inh-60 Dose Pk
| Reason For Use Code | Clinical Criteria |
|---|---|
| 132 | For the treatment of asthma in patients who are using optimum anti-inflammatory treatment and are still experiencing breakthrough symptoms. |
| NOTE: This drug is not for relief of acute symptoms. | |
| LU Authorization Period: Indefinite. | |
| 391 | For patients with moderate to severe COPD with persistent respiratory symptoms despite an adequate trial of, or an intolerance to, a regularly scheduled short-acting bronchodilator AND a long-acting anticholinergic. |
| LU Authorization Period: Indefinite. |