Search results with tag "Lupron"
HEALTH PRODUCTS MENTIONED IN THIS ISSUE
www.canada.caLupron and Lupron Depot (leuprolide acetate) The Warnings and Precautions, Adverse Reactions (Post-market Adverse Drug Reactions), and Patient Medication Information sections of the Canadian product monograph for Lupron and Lupron Depot have been updated with the risk of pseudotumor cerebri/idiopathic intracranial hypertension in pediatric patients
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 ...
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
CIGNA NATIONAL PREFERRED 3-TIER PRESCRIPTION DRUG …
www.cigna.comLUPRON DEPOT 3.75 MG, 11.25 MG (PA) LUPRON DEPOT-PED (PA) medroxyprogesterone methimazole methylprednisolone MYFEMBREE (PA) ethylprednisolone NATESTO (PA) NORDITROPIN (PA) ORIAHNN (PA) ORILISSA (PA) prednisolone sodium phosphate prednisone PREMARIN CREAM SOMAVERT (PA) SYNAREL (PA) testosterone cypionate (PA) …
DRUG NAME: Leuprolide - BC Cancer
www.bccancer.bc.caLeuprolide DRUG NAME: Leuprolide SYNONYM: Leuprorelin acetate1 COMMON TRADE NAME(S): ELIGARD®, LUPRON®, LUPRON DEPOT® CLASSIFICATION: hormonal agent Special pediatric considerations are noted when applicable, otherwise adult provisions apply.
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
Preferred Drug Formulary - Maxor
www.maxor.comLUPRON DEPOT 3.75 MG, 11.25 MG [INJ] LUPRON DEPOT-PED [INJ] LYNPARZA LYUMJEV [INJ] M MAYZENT meclizine medroxyprogesterone metformin metformin ext-release methimazole methocarbamol methotrexate methylphenidate methylphenidate ext-release methylprednisolone metoclopramide metoprolol succinate ext-release metoprolol tartrate metronidazole
Oncology Medication Clinical Coverage - UHCprovider.com
www.uhcprovider.comLupron Depot 3.75 mg (J1950) *Biosimilar means that the biological product is FDA-approved based on data demonstrating that it is highly similar to an already FDA-approved biological product, known as a reference product, and that there are no clinically meaningful differences between the biosimilar product and the reference product.
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
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 …
Treatment of Gender Dysphoria - Cigna
static.cigna.comPharmacy Prior Authorization - (1407) (e.g., Lupron, Zoladex) Preventive Care Services - (A004) Breast Reduction - (0152) Rhinoplasty, Vestibular Stenosis Repair and Septoplasty - (0119) Redundant Skin Surgery - (0470) Speech Therapy - (0177) …
Oncology Medications - Cigna
static.cigna.comintolerance or not a candidate for ONE of the following*: Lupron Depot, Trelstar, Firmagon, or Eligard According to the prescriber, the individual is at risk of cardiovascular disease Individual is using for intermittent androgen deprivation therapy Individual is …
January 2022 2022 EMPIRE PLAN FLEXIBLE FORMULARY …
www.caremark.comLUPRON DEPOT SGM valsartan MISCELLANEOUS AVASTIN SGM ERIVEDGE SGM LYNPARZA SGM RUBRACA SGM ZEJULA SGM CARDIOVASCULAR fosinopril lisinopril erindopril quinapril ramipril trandolapril § ACE INHIBITOR / CALCIUM CHANNEL BLOCKER COMBINATIONS amlodipine-benazepril trandolapril-verapamil ext-rel
PRESCRIPTION DRUG LIST CHANGES - Cigna
www.cigna.comJune 22, 2021 CANCER Orgovyx1 Lupron Depot June 15, 2021 GASTROINTESTINAL/HEARTBURN Lubiprostone 8 mcg, 24 mcg capsule Amitiza June 1, 2021 SKIN CONDITIONS Winlevi 1% cream Generic products (e.g. adapalene; tretinoin; clindamycin-benzoyl peroxide) Wynzora 0.005%-0.064% cream betamethasone DP, fluocinolone, fluticasone,
Infusion Coding - AAPC
static.aapc.com•Lupron •Bleomycin •Fulvestrant •Azacitidine. 15 29 Billable Units •Each code is assigned a unit value •Bill in multiples of that value •Critical in correct coding and reimbursement 30 Rounding •ASCO printed guidelines •No official rule •MDVs –round up to nearest whole unit. 16 31
Lupron Depot®, Lupron Depot-Ped®, Eligard® (leuprolide ...
modahealth.comFeb 06, 2018 · Lupron Depot 1-Month 3.75 mg 1 injection 28 days 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®, Lupron Depot-Ped®, Eligard® (leuprolide …
specialtydrug.magellanprovider.comMay 01, 2018 · Lupron Depot is administered intramuscularly (IM), Eligard is administered subcutaneously (SQ) VI. Billing Code/Availability Information Drug Name Strength HCPCS* NDC Lupron Depot 1-Month 3.75 mg J1950 00074-3641-xx Lupron Depot 1-Month 7.5 mg J9217 00074-3642-xx Lupron Depot 3-Month 11.25 mg J1950 00074-3663-xx ...
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
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 ...
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