Chart 2. Reasons for returning/rejecting tiotropium bromide requests by the authorization center in the Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, 2011-2016.

Reason
1. Lack of spirometry results
2. Post-bronchodilator FEV1 > 50% of the predicted value
3. Post-bronchodilator VEF1/CVF > 0.7
4. Lack of or incomplete medical report
5. No information on previous use of a long-acting β2 agonist
6. Lack of or inadequate dosage prescription