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budesonide-formoterol-glycopyrrolate

budesonide-formoterol-glycopyrrolate
  • Restricted Medications Non-Formulary
Drug Name Form Strength Non-Formulary Restricted TX Sub Notes
Breztri AEROSOL, INHALATION 160 mcg-4.8 mcg-9 mcg/inh      
Display Corticosteroids, Selective beta2-Adrenergic Agonists, Anticholinergic Agents Class : 481008, 48120412, 481208
Medication comments:
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent Formulary Equivalent
glycopyrrolate-formoterol-budesonide (Breztri) budesonide (Pulmicort) nebs 0.5 mg BID plus
ipratropium (Atrovent) nebs 0.5mg q6h plus
formoterol (Perforomist) nebs 20 mcg BID
glycopyrrolate-formoterol-budesonide (Breztri) IDBH budesonide-formoterol (Symbicort) 160/4.5 mcg 2 puffs BID plus
tiotropium (Spiriva Respimat) 2 INH daily
Last updated: May. 29, 2025
UpToDate Lexidrug

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