site stats

Aetna clinical policy nplate

WebAetna considers the initiation of romiplostim (Nplate) medically necessary for the treatment of chronic or persistent ITP when of the following criteria are met: A. Member has had an … WebRefer to the state’s Medicaid clinical policy . Coverage Rationale . This policy refers to Nplate (romiplostim) subcutaneous injection only for the treatment of chronic immune thrombocytopenic purpura (ITP) in patients who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy. ...

Contact Aetna

WebThese Policy Guidelines are provided for informational purposes, and do not constitute medical advice. Treating physicians and healthcare providers are solely responsible for determining what care to provide to their patients. Members should always consult their physician before making any decisions about medical care. scan laptop battery wear https://elmobley.com

Clinical Policy Bulletins (CPB) FAQs for Providers Aetna

WebPolicy History Last Review . 10/08/2024 . Review History Definitions . Additional Information Clinical Policy Bulletin . Notes . Number: 0295 . Policy *Please see amendment for Pennsylvania Medicaid at the end of this CPB. Aetna considers mechanical or laser peripheral atherectomy (atheroablation) medically necessary in members who meet . all WebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible for … WebThe five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and ... ruby hummingbird

0295 Peripheral Atherectomy and Thrombectomy Devices …

Category:How an individual health plan works - Aetna

Tags:Aetna clinical policy nplate

Aetna clinical policy nplate

Prior authorizations - Aetna

WebClinical Policies Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are not limited to policies relating to evolving medical technologies and procedures, as well as pharmacy policies. WebNplate® (Romiplostim) – Individual Exchange Medical Benefit Drug Policy Author: UnitedHealthcare Subject: Effective Date: 01.01.2024 This policy addresses the use of Nplate® \(romiplostim\) for the treatment of chronic immune thrombocytopenic purpura \(ITP\). Applicable Procedure Code: J2796. Created Date: 20241118171428Z

Aetna clinical policy nplate

Did you know?

WebRomiplostim (Nplate) Number: 0768. Policy. Aetna considers romiplostim (Nplate™) medically necessary for the treatment of thrombocytopenia in members with chronic … WebWays to save on Nplate These programs and tips can help make your prescription more affordable Manufacturer Coupon Pay as little as $0 for your first fill and $5 for each refill, with insurance. chevron_right Patient Assistance Program from Amgen Receive your prescription at no cost if you are eligible. chevron_right

WebOur Clinical Policy Bulletins (CPBs) explain the medical and pharmacy services we may or may not cover. They are based on objective, credible sources, such as scientific literature, guidelines, consensus statements, and expert opinions. Once a tab is selected, type CTRL F on your keyboard, and type in the name to quickly find a CPB. WebNov 21, 2024 · Dental Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical/dental advice. This Dental Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract.

WebOct 1, 2024 · Romiplostim (Nplate) is a thrombopoietin receptor agonist that increases platelet production through binding and activation of the thrombopoietin (TPO) receptor, similar in mechanism to endogenous TPO. Criteria Coverage is subject to the specific terms of the member’s benefit plan. WebMay 25, 2024 · Click here to view the Aetna Medical Policy Updates » May 2024 Aetna Medical Policy Updates: Abatacept (Orencia) Abatacept (Orencia) [Medicare] – Medical …

WebSite of service for outpatient surgical procedures policy. Our precertification program is aimed at minimizing members’ out-of-pocket costs and improving overall cost efficiencies. It requires that the more cost-effective site of service is used for certain outpatient surgical procures, when clinically appropriate.

Web- Nplate is a thrombopoietin receptor agonist indicated for the treatment of thrombocytopenia inadult patients with ITP who have had an insufficient response to corticosteroids, immunoglobulins, or splenectomy and pediatric patients 1 year of age and older with ITP for at least 6 months who have had an insufficient response to … rubyhunnicutt yahoo.comWebFor Providers: Medical Policy and Pre-Cert/Pre-Auth Router Overview Enrollment Resources Newsletters Help Providers Medical Policy Router Search Find the specific documents you need. Search for Blue Cross Blue Shield of Michigan and Blue Care Network medical policies, including policies for medical benefit medications. ruby hund filmWebTo help us direct your question or comment to the correct area, please select a category below. Address, phone number, and practice changes. Contact us online. Contact us by phone. For non-participating health care professionals. Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination. scan laptop online for freeWebClinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not … The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) … Review History - Romiplostim (Nplate) - Medical Clinical Policy Bulletins Aetna scan laserm1136WebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible … scanlan wrestling academyWebAetna considers coronary artery brachytherapy experimental and investigational for use with drug-eluting stents, and for the primary prevention of re-stenosis and all other indications (except for those listed in policy section above) due to insufficient evidence in the peer-reviewed literature. scan large documents to pdfWebPolicy Bulletins are compliant with all applicable laws and regulations, standards of regulatory and accreditation agencies (e.g., NCQA), and, when applicable, the Centers for Medicare and Medicaid Services (CMS). The Policy Bulletins describe the status of medical technology at the time the Bulletins were developed. scan large format film mirrorless