In a recent feature article on asthma management, Theresa Capriotti, DO, MSN, CRNP, RN, and colleagues reviewed changes in the diagnosis, workup, and treatment of asthma in the 2022 GINA Report. In response, a nurse practitioner reader asked the following question about insurance coverage for asthma inhalers:

“Any advice on how to get insurance to cover budesonide-formoterol for rescue only? How about how to get 2 inhalers to give to kids: 1 for home and 1 for school?”

Dr Capriotti replied:

Call the insurer and ask to have them give [the 2022 GINA Report] to their committee that decides on their formulary for medication coverage. Insurers may not be keeping up with the latest guidelines and the medications are not expensive. It seems like they need an upper-level physician-manager to place the medication on their formulary.


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Theresa Capriotti, DO, MSN, CRNP, RN, is a clinical professor at Villanova University M. Louise Fitzpatrick College of Nursing in Villanova, Pennsylvania.