Non-Formulary Order

Formulary Equivalent Order

Aclidinium (Tudorza Pressair) inhaler

Umeclidinium (Incruse Ellipta) inhaler

1 inhalation (400 mcg) twice daily

1 inhalation (62.5 mcg) daily

Glycopyrrolate (Seebri Neohaler) inhaler

Umeclidinium (Incruse Ellipta) inhaler

1 inhalations (15.6 mcg) twice daily

1 inhalation (62.5 mcg) daily

Glycopyrrolate (Lonhala Magnair) inhaler

Umeclidinium (Incruse Ellipta) inhaler

1 inhalation (25 mcg) twice daily

1 inhalation (62.5 mcg) daily

Revefenacin (Yupelri) nebule

Umeclidinium (Incruse Ellipta) inhaler

1 inhalation (175 mcg) daily

1 inhalation (62.5 mcg) daily

Tiotropium (Spiriva HandiHaler) inhaler

Umeclidinium (Incruse Ellipta) inhaler

1 capsule for inhalation (18 mcg) daily

1 inhalation (62.5 mcg) daily

Tiotropium (Spiriva Respimat) Inhaler

Umeclidinium (Incruse Ellipta) inhaler

2 inhalations (5 mcg) daily

1 inhalation (62.5 mcg) daily

Umeclidinium (Incruse Ellipta) inhaler

1 inhalation (62.5 mcg) daily

Fluticasone-Vilanterol (Breo Ellipta) inhaler

1 inhalation (100-25 mcg/inhalation) daily

Fluticasone-Umeclidinium-Vilanterol (Trelegy Ellipta) inhaler

1 inhalation (100-62.5-25 mcg/inhalation) daily

Fluticasone/Umeclidinium/Vilanterol (Trelegy) 200-62.5-25 mcg/dose inhaler

1 inhalation daily

Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose inhaler

1 inhalation daily

Umeclidinium (Incruse Ellipta) 62.5 mcg/dose inhaler

1 inhalation daily

Budesonide/Glycopyrrolate/Formoterol Fumarate (Breztri Aerosphere) 160-9-4.8 mcg/dose Inhaler

2 inhalations twice daily

Fluticasone/Vilanterol (Breo Ellipta) 200-25 mcg/dose Inhaler

1 inhalation daily

Umeclidinium (Incruse Ellipta) 62.5 mcg/dose Inhaler

1 inhalation daily