Reclast Medical Necessity

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Zoledronic Acid - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/500_599/0524.html

Zoledronic Acid 5 mg Injection1. Aetna considers zoledronic acid 5mg injection (e.g., Reclast) medically neces…Zoledronic acid 4 mg injection1. Aetna considers zoledronic acid 4 mg injection medically necessary f… See more

Zoledronic Acid (Zometa & Reclast )

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/z/zoledronic-acid-zometa-reclast.pdf

Reclast for Women or Men with Osteoporosis An indication that the patient is taking at least 1200 mg calcium and 800-1000 IU vitamin D per day . Reclast for Paget’s …

Reclast: Uses, Dosage & Side Effects - Drugs.com

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

Reclast (sometimes called zoledronate) is a bisphosphonate medicine that alters bone formation and breakdown in the body. This can slow bone loss and may help …

Bisphosphonates (Intravenous [IV]) and Monoclonal …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33270&DocID=L33270

Zoledronic acid (Reclast® and Zometa®) is a bisphosphonic acid, which is an inhibitor of osteoclastic bone resorption. Zoledronic acid binds to the bone matrix, which …

Reclast: 7 things you should know - Drugs.com

https://www.drugs.com/tips/reclast-patient-tips

LCD - Bisphosphonate Drug Therapy (L34648) - Centers …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34648&CptHcpcsCode=J3489&kq=true

Information in the medical record including diagnostic information and lab results should support the medical necessity of this service. Based on the indications …

Does Medicare Cover Reclast?

https://www.medicare.org/articles/does-medicare-cover-reclast/

Reclast (zoledronic acid injection) is a drug administered via injection that promotes healing in bones that have been damaged due to cancer, cancer therapies or other causes of …

Zoledronic acid: Zometa®; Reclast® - Moda Health

https://modahealth.com/pdfs/med_criteria/ZoledronicAcid.pdf

Reclast: Prevention of osteoporosis in post-menopausal women: Coverage is provided for 24 months and may be renewed. All other indications: Coverage is provided …

Drug and Biologic Medical Necessity (Injectables)

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ph_2027_coveragepositioncriteria_drug_and_biologic_medical_necessity_injectables_medical_benefits.pdf

When coverage is available and medical necessary, the dosage, frequency, duration of therapy, and site of administration should be reasonable, clinically appropriate, and …

Clinical Criteria - Anthem

https://www.anthem.com/ca/ms/pharmacyinformation/clinicalcriteria.html

Welcome to the Clinical Criteria Page This page provides the clinical criteria documents for all injectable, infused, or implanted prescription drugs and therapies covered under the …

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