Beta-Agonists, Inhaled Long Acting
PDL Reference Documents
- Inhalers for Asthma and COPD - Jun 06, 2024
- Inhalers for Asthma and COPD - Feb 01, 2024
- Inhalers for Asthma/COPD - Dec 01, 2022
- Asthma and COPD maintenance medications - Oct 01, 2020
- Asthma and COPD Maintenance Medications - May 23, 2019
- Class Scan: Asthma and COPD - Jan 25, 2018
- Drugs to Treat Asthma and Chronic Obstructive Pulmonary Disease (COPD) - Sep 29, 2016
- Asthma and COPD - Sep 24, 2015
- COPD/Asthma Class Update - Jul 31, 2014
- COPD Class Update and Breo Ellipta New Drug Evaluation - Nov 21, 2013
- Class Scan: COPD Medications - Sep 26, 2013
- Drug Class Review: Controller Medications for Asthma - Jul 25, 2013
- Class Update: Asthma Controllers - May 31, 2012
- Abbreviated Class Review: COPD - Feb 23, 2012
Newsletters
- August 2023 - 2023 Global Initiative for Chronic Obstructive Lung Disease Report: Focus on Revised Recommendations for Inhaler Products
- May 2017 - Updates in the Management of Chronic Obstructive Pulmonary Disease
- June 2013 - Updates and Future Perspectives in the Management of Stable Chronic Obstructive Pulmonary Disease
PDL Status Values
Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the
Non-Preferred Drugs in Select PDL Classes prior authorization criteria.
New drugs will be listed as N until reviewed by the P&T Committee and are subject to the
New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.
To request a Prior Authorization, please use this form.
Generic Name | Brand Name | Form | PDL Status |
Current Drug Use Criteria | New Drug Evaluation & Updates |
---|---|---|---|---|---|
salmeterol xinafoate | SEREVENT DISKUS | BLST W/DEV | Y | ||
arformoterol tartrate | BROVANA | VIAL-NEB | N | PA Document | |
arformoterol tartrate | ARFORMOTEROL TARTRATE | VIAL-NEB | N | PA Document | |
formoterol fumarate | FORMOTEROL FUMARATE | VIAL-NEB | N | PA Document | |
formoterol fumarate | PERFOROMIST | VIAL-NEB | N | PA Document | |
olodaterol HCl | STRIVERDI RESPIMAT | MIST INHAL | N | PA Document | Jan 29, 2015 |