Hello all. First post. I'm 72 years old and smoked for over 40 years. 14 months ago I was diagnosed with Emphysema. I know I had it long before the diagnoses but just a stubborn guy! Anyway I was first prescribed Breztri but discovered it was over $600 out of pocket. The doctor then prescribed Symbicourt and I was on that for 7 months. Huge improvement on my breathing and longevity before getting pooped out. Still along way from when I was 60. In January I changed medicare providers and Breztri came into my price range. Have been on it for 7 months. To be honest I'm not feeling any improvement with Breztri and possibly a bit less than when I was on Symbicourt. Any advise would be appreciated. Thanks, Jim