The fellow claims his medication changed. It did not. As I said, I’m not happy about the new delivery method myself — but the medication is not different.
Read it again closer. His insurance company is who made the claim. They did it so the drug list formulary would be changed making it a new medication thus saving them a bundle. If you read it closely it makes sense. The propellant ingredients as well as the medication is what actually made it effective thus it is altered. Changing the ingredients including the propellant changed the medication. The propellant is as much a part of the treatment as the chemicals it delivers. That is how they work. If you don't get a good delivery it's useless.
The formulation DID change.
If only the propellant changed, then the mole weight would be the same.
It's not -- check the PDR.
If the medication had not changed, the formulary for the insurance companies would retain it as a compatible Rx.
It's not -- and they don't.
Get some facts to back up you statements, and provide them.
“I recently needed to refill my inhaler and was told by the local pharmacist that the inhaler was now different because it contained ingredients that harmed the ozone layer. However, these ingredients were the most effective for helping calm down an asthma attack.”
The propellent is one of the ingredients; the gentleman who wrote the letter never uses the word medicine.