Procrit Medical Policy

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Erythropoiesis Stimulating Agents - Medical Clinical …

https://www.aetna.com/cpb/medical/data/100_199/0195.html

Policy Note: Requires Precertification: Precertification of erythropoiesis stimulating agents (Aranesp, Epogen, Procrit, Retacrit, Mircera) is required of all Aetna participating providers and members in applicable plan designs. For precertification of erythropoiesis stimulating …

Erythropoiesis-Stimulating Agents – Commercial …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/erythropoiesis-stimulating-agents.pdf

Medical Necessity Criteria (for Medicare reviews, refer to the CMS section*) Treatment with Epogen or Procrit is medically necessary for the indications specified in this policy when …

Procrit medication guide - Food and Drug …

https://www.fda.gov/media/73511/download

PROCRIT is a man-made form of the protein human erythropoietin that is given to reduce or avoid the need for red blood cell transfusions. PROCRIT stimulates your bone marrow to …

Erythropoietin Stimulating Agents Policies | CMS

https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/esapolicies

Medicare Medicare Coverage - General Information Erythropoietin Stimulating Agents Policies Erythropoietin Stimulating Agents Policies CMS has policies that effect …

Procrit: Package Insert / Prescribing …

https://www.drugs.com/pro/procrit.html

The recommended Procrit regimens are: 300 Units/kg per day subcutaneously for 15 days total: …

LCD - Erythropoiesis Stimulating Agents (ESA) (L34356)

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34356&CptHcpcsCode=j0885&kq=true

This LCD outlines limited coverage for this service with specific details under Coverage Indications, Limitations and/or Medical Necessity. CMS National Coverage …

Procrit (Injection) Uses, Dosage & Side Effects - Drugs.com

https://www.drugs.com/procrit.html

You should not use Procrit if you are allergic to epoetin alfa or darbepoetin alfa, or if: you have untreated or uncontrolled high blood pressure; you have had pure red …

Erythropoiesis Stimulating Agents (ESA)

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ph_5016_coveragepositioncriteria_erythropoiesis_stimulating_agents.pdf

I. Epoetin alfa (Epogen, Procrit), epoetin alfa-epbx (Retacrit) are considered medically necessary when BOTH of the following criteria are met: Presence of adequate iron stores …

Medical & Drug Policies and Coverage Determination …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-medical-drug-policies.html

Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, and Utilization Review Guidelines are developed as needed, are regularly reviewed and …

RETACRIT® (epoetin alfa-epbx) HCP Home Page

https://retacrit.pfizerpro.com/

RETACRIT® (epoetin alfa-epbx) is the first and only FDA-approved biosimilar to Epogen®/Procrit® (epoetin alfa) 1-3*† RETACRIT offers the potential to help address …

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