Moderate COPD is defined as 50% List Trelegy Ellipta, the new triple therapy fixed-dose combination (i.e., ICS-LABA-LAMA), as a limited coverage benefit for moderate-to-very-severe patients with COPD diagnosed by spirometry, history of exacerbations 4, with a 6-month trial of either a LAMA-LABA combination or an ICS-LABA combinationġThe spirometry requirement for the diagnosis of moderate-to-very-severe COPD requires a post-bronchodilator fixed ratio of FEV1/forced vital capacity (FVC) Modify criteria for inhaled corticosteroids (ICS)-LABA combination inhalers to include diagnosis for moderate-to-very-severe COPD by spirometry, history of exacerbations 3, and a 6-month trial of either a LAMA or a LABA.Increase access to LAMA-LABA combination therapies for moderate to very severe 2 patients with COPD by expanding the current forced expiratory volume in 1 second (FEV 1) threshold requirement from Modify criteria for long-acting beta 2 agonists (LABA) to include diagnosis 1 of COPD by spirometry and contraindications or intolerance to a LAMA.Continue coverage for other LAMAs (Tudorza ® Genuair ®, Spiriva ® Handihaler ®, Seebri ® Breezhaler ®) as limited coverage benefits with changes in criteria: failure on a minimum one-month trial of each of the regular benefit LAMA products.Improve access to long-acting muscarinic antagonists (LAMA) by moving tiotropium (Spiriva ® Respimat ®) and umeclidinium (Incruse ® Ellipta ®) from limited coverage benefits to regular benefit coverage.
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