10. alfa), Procrit(epoetin alfa), Aranesp (darbepoetin alfa), Mircera (methoxy polyethylene glycol-epoetin beta) NON-ONCOLOGY POLICY Department: PHA Effective Date: 01/01/2020 Review Date: 12/18/19, 1/29/20, 8/3/2020 Revision Date: 9/18/19, 1/29/20, 8/3/2020 Purpose: To support safe, effective and appropriate use of Erythropoiesis stimulating agents. 10 Multidose Vials NDC 0338-1305-03. Plan ☐ MassHealth ☒ MassHealth (PUF) ☐Commercial/Exchange ; Program Type ☒ Prior Authorization ☒ Quantity Limit ☐ Step Therapy . Please read the full prescribing information (PI) for PRIVIGEN Immune Globulin Intravenous (Human), 10% Liquid in the treatment of PI, CIDP, and chronic ITP HA-80-01-627 USA. 2. Easy to read FDA package insert, drug facts, dosage and administration, and adverse effects for Procrit (epoetin alfa) This site is published by Janssen Products, LP, which is solely responsible for its contents. Procrit increases the reticulocyte count within 10 days of initiation, followed by increases in the RBC count, hemoglobin, and hematocrit, usually within 2 to 6 weeks. 4. Find which 2021 Medicare Part D plans best cover your drugs If you have any questions, you should talk to your doctor. Aranesp ®, Procrit®, Epogen®, and Retacrit ® stimulate erythropoiesis by the same mechanism as endogenous erythropoietin and are known collectively as erythropoietin-stimulating agents (ESAs). 1 HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use Aranesp safely and effectively. Retacrit [package insert]. MESNEX (mesna) Injection. Follow your doctor's instructions very closely. … Retacrit [package insert]. Talk with your doctor to see if ZINPLAVA™ (bezlotoxumab) is right for you and find administration center locations to see where you may be able to get the ZINPLAVA infusion. Accessed March 2020. Your spleen may become enlarged and can rupture while taking NEUPOGEN®. 1g. A ruptured spleen can cause death. Thousand Oaks, CA; Amgen, Inc; July 2018. Epogen [package insert]. Horsham, PA: Janssen Products, LP; July 2018. References 1. When therapy with RETACRIT ® is needed in these patient populations, use single-dose vials; do not admix with bacteriostatic saline containing benzyl alcohol. Epogen [package insert]. Lake Forest, IL; Hospira, Inc; January 2020. Procrit is a prescription drug used to treat anemia due to chemotherapy, renal failure, or zidovudine. See full prescribing information Procrit [package insert]. See risks and benefits. The spleen is located in the upper left section of your stomach area. Lake Forest, IL; Hospira, Inc; January 2020. 2. Fulphila® is first FDA approved biosimilar for neulasta indicated to decrease the incidence of infection,as manifested by febrile neutropenia,in patients with nonmyeloid malignancies.Fulphila® is an effective treatment option for patients with febrile neutropenia. 2. Pfizer RxPathways connects eligible patients to a range of assistance programs to help them access their Pfizer prescriptions. Procrit [package insert]. EPOGEN, PROCRIT, RETACRIT (epoetin alfa) For oncology indications, please refer to NHPRI Erythropoiesis Stimulating Agents (ESA) Oncology Policy POLICY I. REFERENCES 1. Thousand Oaks, CA: Amgen Inc.; July 2018. Call your doctor right away if you/your child has pain in th Benefit ☒ Pharmacy Benefit ☐ Medical Benefit (NLX) Specialty Limitations . A package insert is required by the FDA and contains a summary of the essential scientific information needed for the safe and effective use of the drug for healthcare providers and consumers. Procrit [package insert]. INDICATIONS The indications below including FDA-approved indications and compendia uses are considered a covered benefit provided that all the approval criteria are met and the member has no exclusions to the prescribed therapy. Epogen [package insert]. Uncontrolled hypertension; Pure red cell aplasia (PRCA) that begins after treatment with EPOGEN ® or other erythropoietin protein drugs; Serious allergic reactions to EPOGEN ®; EPOGEN ® from multidose vials contains benzyl alcohol and is contraindicated in neonates, infants, pregnant women, and lactating women. Manufactured by: Baxter Healthcare Corporation Deerfield, IL 60015 USA. frequently than listed in the package insert, or generally accepted by peers and the reason for additional services is not justified by submitted documentation . FDA Indications1 Darbepoetin alfa (Aranesp®), Epoetin alfa (Procrit®), and Epoetin alfa-epbx (Retacrit®) are FDA indicated for the following: Need help paying for Pfizer medicines? See Figure 7. Accessed March 2020. Retacrit [package insert]. Procrit [package insert]. Should not be prescribed without thorough knowledge of dose, indications and toxicology as contained in accompanying literature. 4. Accessed March 2020. Horsham, PA: Janssen Products. Made in Germany. Horsham, PA; Janssen, LP; July 2018. Referenced with permission from the NCCN Drugs & Biologics Compendium (NCCN Compendium ®) epoetin alfa. Horsham, PA; Janssen, LP; July 2018. Pfizer RxPathways ® may be able to help. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ARANESP-safely and effectively.See full prescribing information for This eMedTV article further explains what Procrit is used for, describes the effects of the medicine, and offers general dosing information. Do not freeze Procrit, and throw away the medication if it has become frozen. … See full prescribing information for Aranesp. Thyrolar Tablets (Liotrix Tablets, USP) contain triiodothyronine (T Pharmacodynamics. Referenced with permission from the NCCN Drugs & Biologics Compendium (NCCN Compendium®) epoetin alfa. 3. Procrit stimulates erythropoiesis by the same mechanism as endogenous erythropoietin. Patient Assistance Programs. IV. 11. With the vial on a flat work surface, insert the needle straight down through the grey rubber stopper of the PROCRIT vial. Physician Package Insert. 2. The air injected into the vial will allow PROCRIT to be easily withdrawn into the syringe. Dosage: See package insert for directions for use. Thyrolar® Tablets (Liotrix Tablets, USP) Rx only Content Updated: June 2018. Patient Package Insert - Drugs index - Manufacturers - Feedback: DESCRIPTION Erythropoietin is a glycoprotein which stimulates red blood cell production. Accessed March 2019. Store in the refrigerator and protect from light. American Society of Hematology / American Society of . It is produced in the kidney and stimulates the division and differentiation of committed erythroid progenitors in the bone marrow. EPOGEN ® is contraindicated in patients with: . Scope: Medicaid, Commerical, Medicare … Rx only. Horsham, PA; Janssen, LP; July 2018. What are possible serious side effects of NEUPOGEN®? RETACRIT from multiple-dose vials contains benzyl alcohol and is contraindicated in: Neonates, infants, pregnant women, and lactating women. RETACRIT Has the Same Dosing as Epogen/Procrit 3,5,6. 3. See Figure 7. Accessed March 2020. ; Procrit 10,000 U/mL 2 mL multi-dose vial solution for injection: 59676-0312 Procrit 20,000 U/mL 1 mL multi-dose vial solution for injection: 59676-0320 Procrit 40,000 U/mL single-dose vial solution for injection: 59676-0340 VII. 4. EPOGEN ® is a prescription medicine used to treat a lower than normal number of red blood cells (anemia) caused by chronic kidney disease in patients on dialysis to reduce or avoid the need for red blood cell transfusions. •Spleen Rupture. 1 Medicare Medical Policy Medicare Advantage Part B Step Therapy Medicare HMO BlueSM and Medicare PPO BlueSM Members Policy Number: 020 Note: All preservice authorization requests may be submitted to BCBSMA Clinical Pharmacy Operations by completing the preservice authorization form on the last page of this document. 3. Procrit [package insert]. Find info about RETACRIT® (epoetin alfa-epbx), an FDA-approved biosimilar of Epogen®/Procrit® (epoetin alfa), on the HCP site. Epogen, Procrit (epoetin alfa) Retacrit (epoetin alfa-epbx) Aranesp (darbepoetin alfa) Mircera (methoxy polyethylene glycol-epoetin beta) Effective January 1, 2021 . Accessed March 2020. Thousand Oaks, CA; Amgen, Inc; July 2018. This site is intended for use by healthcare professionals of the United States and Puerto Rico. HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ZONTIVITY safely and effectively. New York: NY: Pfizer Inc.; June 2020. Procrit is only part of a complete treatment program that may also include a special diet. Accessed March 2020. Push the plunger of the syringe down to inject the air from the syringe into the vial of PROCRIT. DESCRIPTION. Rizzo JD, Brouwers M, Herley P, et al. FOR … MEDICATION GUIDE REMICADE‚ (Rem-eh-kaid) (infliximab) for injection, for intravenous use Read the Medication Guide that comes with REMICADE before you receive the first treatment, and 3 full prescribing information warning: esas increase the risk of death, myocardial infarction, stroke, venous thromboembolism, thrombosis of vascular access and tumor

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