Special Authority: Asthma Triple Inhaler Therapy

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  • Create Date January 9, 2023
  • Last Updated January 9, 2023

Special Authority: Asthma Triple Inhaler Therapy

This specialized eFORM is only for asthma patients who need the most aggressive inhaler therapy - namely triple therapy. Note that SA is already required for ICS-LABA combos, but those request can be made on the generic eFORM.

Two other tripleRx inhaler products exist, but are approved for COPD only.

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SA_Asthma_TripleRx_V1_Jan9_2023.zipDownload