Search results with tag "Leuprolide"
DRUG NAME: Leuprolide - BC Cancer
www.bccancer.bc.caLeuprolide DRUG NAME: Leuprolide SYNONYM: Leuprorelin acetate 1. COMMON TRADE NAME(S): ELIGARD ®, LUPRON , LUPRON DEPOT. CLASSIFICATION: hormonal agent. Special pediatric considerations are noted when applicable, otherwise adult provisions apply. MECHANISM OF ACTION: Leuprolide is a luteinizing hormone releasing hormone (LHRH) …
For the Patient - BC Cancer
www.bccancer.bc.caLeuprolide For the Patient: Leuprolide injection Other names: ELIGARD®, LUPRON®, LUPRON DEPOT® • Leuprolide (loo' proe lide) is a drug that is used to treat prostate cancer, breast cancer, and other cancers. In men, leuprolide decreases testosterone (a male sex
LUPRON DEPOT -3 Month 11.25 mg (leuprolide …
www.accessdata.fda.govLUPRON DEPOT®-3 Month 11.25 mg (leuprolide acetate for depot suspension) 3-MONTH FORMULATION . Rx only . DESCRIPTION . Leuprolide acetate is a synthetic nonapeptide analog of naturally occurring gonadotropin-releasing hormone
LUPRON DEPOT 3.75 mg (leuprolide acetate for depot ...
www.rxabbvie.comLUPRON DEPOT® 3.75 mg (leuprolide acetate for depot suspension) Rx only DESCRIPTION Leuprolide acetate is a synthetic nonapeptide analog of naturally occurring gonadotropin-
Lupron Depot®, Lupron Depot-Ped®, Eligard® (leuprolide ...
specialtydrug.magellanprovider.comMay 01, 2018 · Lupron Depot-Ped 3-Month 30 mg J1950 00074-9694-xx Eligard 7.5 mg J9217 62935-0753-xx Eligard 22.5 mg J9217 62935-0223-xx Eligard 30 mg J9217 62935-0303-xx Eligard 45 mg J9217 62935-0453-xx *J1950: Injection, leuprolide acetate (for depot suspension), per 3.75 mg *J9217: Leuprolide acetate (for depot suspension), 7.5 mg VII.
LUPRON DEPOT 3.75 mg (leuprolide acetate for depot ...
www.accessdata.fda.govLUPRON DEPOT® . 3.75 mg (leuprolide acetate for depot suspension) Rx only . DESCRIPTION . Leuprolide acetate is a synthetic nonapeptide analog of naturally occurring gonadotropin-
Lupron Depot® (leuprolide acetate for depot suspension ...
www.aetna.comLupron Depot® (leuprolide acetate for depot suspension) Medication Precertification Request Aetna Precertification Notification . Phone: 1-866-752-7021. FAX: 1-888-267-3277 . For Medicare Advantage Part B: Phone: 1-866-503-0857. FAX: 1-844-268-7263 (All fields must be completed and legible for Precertification Review) Please indicate: Start of ...
CVS Specialty Drug List
www.cvsspecialty.comleuprolide acetate (lupron) lupron depot natpara aza supprelin la trelstar zoladex immune deficiencies & related disorders asceniv bivigam cutaquig cuvitru cytogam flebogamma dif gamastan gamastan s/d gammagard liquid gammagard s/d gammaked gammaplex gamunex c hepagam b hizentra halav hyperhep b s/d hyperrho s/d
Oncology Medication Clinical Coverage
www.uhcprovider.comacetate, leuprolide acetate, leucovorin and levoleucovorin), including therapeutic radiopharmaceuticals, covered under the medical benefit based upon the National Comprehensive Cancer Network (NCCN) Drugs & Biologics Compendium® (NCCN Compendium®). The Compendium lists the appropriate drugs and biologics for specific …
DRUG NAME: Leuprolide - BC Cancer
www.bccancer.bc.caIncreasing levels of estrogen in the follicular phase lead to maturation of the follicle and proliferation of the uterine mucosa, while decreasing levels of hormone in the luteal phase lead to sloughing of the endometrium (menses).
LUPRON DEPOT (leuprolide acetate for depot suspension ...
www.lupronprostatecancer.comLUPRON DEPOT is a prescription medication that must be administered in your doctor’s office. Reference: LUPRON DEPOT 7.5 mg for 1-month, 22.5 mg for 3-month, 30 mg for 4-month, and 45 mg for 6-month [package insert]. 1891386-1740907
Medi-Cal Rx Contract Drugs List
medi-calrx.dhcs.ca.govLeuprolide Acetate (Lupron Depot-Ped®) Added to CDL with restrictions. January 1, 2022 Linezolid Added to CDL (various formulations). January 1, 2022 ... suspension 125 mg/5 ml 200 mg/5 ml 250 mg/5 ml 400 mg/5 ml ml ml ml ml . Medi …
Accredo® Specialty Medication List Updated 10/04 ... - Cigna
medicareproviders.cigna.comleuprolide acetate zelboraf lexiva zemaira liletta zepatier lonsurf zeposia lopinavir-ritonavir zerit lorbrena ziagen lovenox zidovudine lucentis ziextenzo lumakras zirabev lumizyme zoladex lupron depot zoledronic acid luxturna zolgensma lynparza zolinza macrilen zomacton macugen zometa
Prescription Drug Listing - Horizon NJ Health
www.horizonnjhealth.comleuprolide @* levetiracetam, ER* levobunolol . levocarnitine . levocetirizine 5mg* levofloxacin* levofloxacin eye drops* levora* levororgestrel / ethinyl estradoil* levothyroxine* LEVOXYL* LEXIVA@* lidocaine/ hydrocortisone . acetate cream* linezolid . liquibid . lisinopril* lisinopril/ hydrochloro- thiazide * lithium carbonate . lithium ...
Gonadotropin Releasing Hormone Analogs - …
www.uhcprovider.comFor Lupron Depot, for recurrence of symptoms, the prescriber should consider the impact to bone mineral density prior to retreatment. Leuprolide must be used in combination with add back therapy (e.g., norethindrone acetate) for 6 months; greater than …
Medicare Benefit Policy Manual - Centers for Medicare ...
downloads.cms.govDrugs commonly considered to fall under the category of hormonal antineoplastics include leuprolide acetate and goserelin acetate. The drugs cited are not intended to be a complete list of drugs that may be administered using the chemotherapy administration codes. Local carriers may provide additional
MEDICAL BENEFIT MANAGEMENT PROGRAM SPECIALTY …
networkhealth.comDRUG NAME GENERIC DESCRIPTION THERAPY CLASS REIMBURSEMENT CODE EFFECTIVE DATE Cablivi caplacizumab-yhdp Blood Cell Deficiency C9047 7/21/2019 Tepezza teprotumumab Ophthalmic Conditions C9061 (eff 7/1/20), J3241 (eff ... Lupron Depot-Ped leuprolide acetate Endocrine Disorders J1950 5/1/2019
This is a list of drugs that may be covered under Medicare ...
devarcresources.blob.core.windows.netLeuprolide Acetate Leustatin Levaquin Levo-Dromoran Levocarnitine Levsin Levulan Librium Lidocaine Hcl In 5% Dextrose ... Lmd 10% W/0.9% Sodium Chloride Lorazepam Lovenox Luminal Sodium Lunelle Lupron Lupron Depot Lupron Depot-Ped M-M-R Ii M-M-R Ii Vaccine W/Diluent Magnesium Sulfate Magnevist Mannitol Marinol Maxipime Medidex Medrol Mefoxin ...
Lupron Depot®, Lupron Depot-Ped®, Eligard® (leuprolide ...
modahealth.comFeb 06, 2018 · Lupron Depot 1-Month 7.5 mg 1 injection 28 days Lupron Depot 3-Month 11.25 mg 1 injection 84 days Lupron Depot 3-Month 22.5 mg 1 injection 84 days Lupron Depot 4-Month 30 mg 1 injection 112 days Lupron Depot 6-Month 45 mg 1 injection 168 days Lupron Depot-Ped 7.5 mg 1 injection 28 days
Prescription Drug Listing - Horizon NJ Health
www.horizonnjhealth.comsuspension, powder, vial* acyclovir ointment @* ADACEL @* ADCIRCA@* ADVIL COLD AND SINUS AGGRENOX* ... calcium acetate CALDEROL CAMPRAL* CANASA capecitabine @* CAPITROL CARBAGLU carbidopa* ... leuprolide@* levetiracetam, ER* levobunolol levocarnitine levocetirizine 5mg* levofloxacin*
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