Alimta

Services that require precertification - IBXTPA

Antineoplastic agents • Abraxane® • ®Adcetris • Alimta® • ®‡Avastin (except for ophthalmological ® conditions) • Beleodaq® • ®Blincyto

  Services, That, Requires, Services that require, Alimta

United States Court of Appeals for the Federal Circuit

United States Court of Appeals for the Federal Circuit _____ ELI LILLY AND COMPANY, Plaintiff-Appellee v. TEVA PARENTERAL MEDICINES, INC., APP

  Medicine, Parenteral, Teva parenteral medicines, Teva

NDC Drug Name Dosage Form Strength Admin Route Therapy

NDC Drug Name Dosage Form Strength Admin Route Therapy 00187065142 8-Mop capsule 10 mg oral SKIN AND MUCOUS MEMBRANE AGENTS 59148001665 Abilify solution 9.75 mg/1.3 mL intramuscular CENTRAL NERVOUS SYSTEM AGENTS

Tysabri REMS: Pre-Infusion Patient Checklist

Title: Tysabri REMS: Pre-Infusion Patient Checklist Author: fda/cder Subject: Tysabri REMS Created Date: 5/14/2013 2:24:26 PM

  Patients, Checklist, Infusion, Pre infusion patient checklist

REQUEST FOR PRIOR AUTHORIZATION FAX (559) 224-2405 or …

REQUEST FOR PRIOR AUTHORIZATION FAX (559) 224-2405 or (559) 224-9746 PHONE (559) 228-5400 or (800) 652-2900 O Aqua Therapy O Intensity Modulated Radiation Therapy (IMRT)