Aetna clinical policy nplate
WebThis policy supports medical necessity review for Nplate® (romiplostim) injection for subcutaneous use. Receipt of sample product does not satisfy any criteria requirements for coverage. Medical Necessity Criteria . Rmiplostim o (Nplate) is considered medically necessary when ONE of the following is met (1, 2, 3, or 4): 1. 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 ...
Aetna clinical policy nplate
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WebAn individual health plan is one that you purchase on your own, not through an employer. You can buy these health plans directly from Aetna or on a health insurance exchange, … WebAetna 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.
WebNplate® (Romiplostim) – Individual Exchange Medical Benefit Drug Policy Author: UnitedHealthcare Subject: Effective Date: 01.01.2024 This policy addresses the use of … 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.
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 WebPolicy 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.
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
WebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely … shell marine laboratoryWebFor 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. sponge pudding microwaveWeb- 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 … shell marchWebTo 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. sponge pudding in a microwaveWebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible … sponge pudding orange steamWebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible … sponge pudding mixtureWebAetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any Clinical Policy Bulletin (CPB) related to their coverage or condition with their treating provider. ... shell marine gtcs