Search results with tag "Atezolizumab"
Avastin® (Bevacizumab) – Medicare Advantage Policy Guideline
www.uhcprovider.comAn unlabeled use of a drug is a use that is not included as an indication on the drug's label as approved by the FDA. FDA ... o In combination with atezolizumab for the treatment of patients with unresectable or metastatic HCC who have not ... complete name, dates of service[s]). The documentation must include the legible signature of the ...
Medicare Prior Authorization List Effective January 1, 2021
www.superiorhealthplan.comJ9022 INJECTION ATEZOLIZUMAB 10 MG J9145 INJECTION DARATUMUMAB 10 MG J9173 INJECTION DURVALUMAB 10 MG ... Drug Description Comments Part B Drugs: STEP THERAPY Drug Code Drug Name Action Medicare Part B PA List - Attachment A Effective January 1, 2021 . J9311 INJECTION RITUXIMAB 10 MG AND HYALURONIDASE J9312 …
DRUG NAME: Atezolizumab - BC Cancer
www.bccancer.bc.caThe table includes adverse events that presented during drug treatment but may not necessarily have a causal relationship with the drug. Because clinical trials …
Keytruda® (pembrolizumab) Injectable Medication ...
www.aetna.com(PD-L1) inhibitor (e.g., Opdivo (nivolumab), Tecentriq (atezolizumab), Keytruda (pembrolizumab), Bavencio (avelumab), or Imfinzi (durvalumab))? Yes . No . Is the requested drug prescribed for a pediatric patient with microsatellite instability-high (MSI-H) or tumor mutational burden-high (TMB-H) central nervous system cancer? Yes