Don't quote me, but I think you can get AZLI under an "expanded access" clause under certain cases. One can be that nothing else works and your lung function is low and dropping. I know some other CFers are on it for that reason.
It is my understanding that inhaled Cipro will be delivered in a "writing pen" looking thingamajig. You insert a capsule into the "pen", press a button that results in crushing of the capsule, then inhale. I'm actually looking into that study for early 2010!