Nebulizers

Aetna covers small-volume nebulizers and compressors to administer inhaled antibiotics (gentamicin, amikacin, tobramycin) for cystic fibrosis or bronchiectasis, beta-agonists/anticholinergics/corticosteroids/cromolyn for COPD-related disorders, dornase alfa (Pulmozyme) for CF or primary ciliary dyskinesia, and epinephrine for croup, while deeming small- and large-volume nebulizers and ultrasonic nebulizers experimental/investigational for all other indications (ultrasonic devices are medically necessary only under the policy’s specific criteria). For COPD/COPD-related indications the physician must document that a metered-dose inhaler with or without a reservoir/spacer was considered and found medically insufficient; Pulmozyme is not covered for asthma, chronic bronchitis, or other non-CF uses.

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