Transcription of Chemotherapy and Associated Drugs and Treatments ...
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Chemotherapy and Associated Drugs and Treatments Page 1 of 8 UnitedHealthcare Medicare Advantage Coverage Summary Approved 11/16/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc. UnitedHealthcare Medicare Advantage Cover a ge Summa r y Chemotherapy and Associated Drugs and Treatments Policy Number: Approval Date: November 16, 2021 Instructions for Use Table of Contents Page Coverage Guidelines .. 1 Chemotherapy , Immunotherapy and Hormonal Agents .. 1 Off-Label Use of Drugs and Biologicals in an Anti-Cancer Chemotherapeutic 1 National Cancer Institute Designated "Group C" Drugs .
• Aprepitant for Chemotherapy-Induced Emesis (NCD 110.18) • Autologous Cellular Immunotherapy Treatment (NCD 110.22) • Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumor (NCD 110.20) • ®Camptosar (Irinotecan)
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