I've been diagnosed with COPD for about three years now and one of the largest problems I run into aside from the disease itself is the insurance company always jacking with the medication my pulmonologist prescribes. they don't want to pay for this or that or change their mind from year to year. I recently switched from using Spiriva and Symbicort to Breztri. The insurance company doesn't like Breztri but I have a discount coupon from the manufacturer that makes it affordable without the insurance. So my question is has anyone seen significant improvement with Breztri over others to where fighting with the insurance would be worth it when the coupons run out. I've only been on it a short time and don't know if I see much difference, other than only having to manage 1 medication instead of 2.