Search results with tag "Leuprolide acetate"
LUPRON DEPOT 3.75 mg (leuprolide acetate for …
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 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
Aetna Rx - MEDICARE - Lupron Depot (leuprolide acetate …
www.aetna.comLupron Depot ® (leuprolide acetate for depot suspension) Medication Precertification Request. Page 1 of 3 . For Medicare Advantage Part B: Phone: 1-866-503-0857 . FAX: 1-844-268-7263 . For other lines of business: Please use other form . Note: Lupron Depot is non-preferred. The preferred product is Eligard. Firmagon is also a
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
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 …
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
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 ...
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
Similar queries
Leuprolide acetate, Leuprolide acetate for depot suspension, Lupron depot, Leuprolide, Depot, Leuprolide acetate for depot suspension) 3-MONTH FORMULATION, Aetna, Acetate, Oncology Medication Clinical Coverage, Lupron, May be covered under Medicare, Lupron Lupron Depot Lupron Depot, Medi-Cal Rx Contract Drugs List, Suspension, Medi, Specialty, Cigna