* Requires minimum 6 month trial of LAMA or LABA.

* Requires minimum 6 month trial of LAMA or LABA. Consider persistent sx or high eosinophil count as risk factors for exacerbations. ICS recommended.

* Requires minimum 6 month trial of dual agent combo and presence of frequent purulent flare-ups. Consider persistent sx or high eosinophil count as risk factors for exacerbations. ICS recommended.

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Stamp Signature

Subject:

Choose Tickler reminder date 4 wk 8 wk