Limited coverage criteria – budesonide in combination with formoterol

Last updated on March 17, 2025

 

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Generic name

budesonide-formoterol

Strength & form

budesonide 100 mcg, 200 mcg;

formoterol 6 mcg

dry powder for oral inhalation

Special Authority criteria

Approval period

Diagnosis of asthma

AND

Inadequate response on optimal dose of inhaled corticosteroid

Indefinite

Practitioner exemptions

  • Respirologists and allergists are not required to submit a Special Authority request form for coverage

Special notes

  • None

Special Authority request form(s)