In patients with asthma and N-ERD, in addition to the criteria above for all patients
Biologics should NOT be considered if the patient has not had previous surgery AND have not received more than 2 courses of OCS
Biologics should NOT be considered if the patient has not used oral corticosteroids in the preceding 12 months AND has undergone 1 or fewer previous surgeries
Biologics should be considered if patients have required at least 1 course of steroids in the last year or are unable to take OCS AND have had 2 or more previous surgeries or are unfit for surgery
Biologics should be considered if patients have received 2 or more courses of OCS, or are unable to take OCS AND have had 1 or more surgeries, or are considered unfit for surgery (under local or general anaesthetic)