Daliresp
Drug - Daliresp (roflumilast) [Forest]
March 2012
Therapeutic area - COPD
Approval criteria
- Patient has severe COPD associated with chronic bronchitis AND
- At least 1 COPD exacerbation requiring systemic corticosteroids or hospitalization in the previous year AND
- At least a 20 pack-year smoking history AND
- Patient has tried combination regimens consisting of an inhaled-corticosteroid plus a long-acting beta-agonist and/or a long-acting anticholinergic, theophylline, short-acting beta-agonist, and/or short-acting anticholinergic
Exclusion criteria
Patient has moderate to severe liver impairment (Child-Pugh B or C).
Quantity limit
The recommended dosage for patients with COPD is one 500 mcg tablet per day, with or without food.
- Quantity Limit = 34 tablets
Background information
DALIRESP is indicated as a treatment to reduce the risk of COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of exacerbations.
Daliresp is subject to PA and quantity limit restrictions.
Questions?
MHCP Provider Call Center 651-431-2700 or 800-366-5411