Avastin (bevacizumab) DRUG.00028, CG-DRUG-68
|
|
- Moses Brooks
- 5 years ago
- Views:
Transcription
1 Avastin (bevacizumab) DRUG.00028, CG-DRUG-68 Override(s) Prior Authorization Approval Duration 1 year Medications Avastin (bevacizumab) APPROVAL CRITERIA Requests for Avastin (bevacizumab) may be approved when the following I. Individual is being treated for ANY of the following: A. Established neovascular wet age-related macular degeneration; B. Pseudoxanthoma elasticum; C. Other rare causes of choroidal neovascularization for one or more of the following conditions: 1. Angioid streaks; 2. Choroiditis (including, but not limited to histoplasmosis inducted choroiditis); 3. Degenerative myopia, idiopathic; 4. Retinal dystrophies; 5. Trauma; D. Neovascular glaucoma; E. Macular edema from branch retinal vein occlusion; F. Macular edema from central retinal vein occlusion; G. Diabetic macular edema; H. Retinopathy of prematurity; I. Proliferative diabetic retinopathy with or without diabetic macular edema; J. Radiation retinopathy; II. In the treatment of individuals with metastatic breast carcinoma when all of the following A. HER2-negative breast cancer; AND B. Used in first-line chemotherapy* for treatment of metastatic disease; AND C. Used in combination with paclitaxel or paclitaxel protein-bound. *Note: Hormonal therapy alone is not considered chemotherapy. PAGE 1 of 5 02/19/2018 CRX-ALL
2 III. In the treatment of individuals with a primary central nervous system tumor who have failed radiation therapy when the following A. Avastin is being used in a single line of therapy; AND B. The tumor to be treated is a World Health Organization (WHO) Grade III/IV glioma (includes, but is not limited to): 1. Anaplastic astrocytoma; 2. Anaplastic glioma; 3. Ependymoma, progressive or recurrent; 4. Glioblastoma; 5. Glioblastoma multiforme; 6. High-grade glioma, recurrent; IV. In the treatment of individuals with metastatic cervical cancer when all of the following A. Individual has recurrent, or persistent disease that is not amenable to curative treatment with surgery or radiotherapy; AND B. Avastin is being used in combination with paclitaxel and topotecan, or with paclitaxel and cisplatin chemotherapy; AND C. Avastin is being used in a single line of therapy. V. In the treatment of individuals with metastatic colon, rectal, colorectal, or small bowel adenocarcinoma when the following A. Avastin is being used in combination with 5FU-based chemotherapy, irinotecan or oxaliplatin; AND B. Individual has not progressed on more than two lines of a bevacizumabcontaining chemotherapy agent. VI. In the treatment of individuals with unresectable malignant mesothelioma when the following A. Avastin is used in a first-line combination chemotherapy with cisplatin or carboplatin and pemetrexed; AND B. Individual has an Eastern Cooperative Oncology Group performance status of 0-2 and no history of bleeding or thrombosis. C. Avastin as maintenance therapy in the treatment of individuals with malignant mesothelioma when all of the following 1. Avastin was previously administered as an agent in a first-line combination chemotherapy regimen; AND 2. Avastin is used as a single agent; AND 3. Avastin is used until disease progression*. *Note: Once disease progression has occurred, bevacizumab is not to be re-instituted. VII. In the treatment of individuals with unresectable, locally advanced, recurrent or metastatic non-squamous, non-small cell lung cancer (NSCLC) when the following PAGE 2 of 5 02/19/2018
3 A. Avastin is used in first-line combination chemotherapy with platinum-based therapy and a taxanes or pemetrexed; AND B. Individual has an Eastern Cooperative Oncology Group performance status of 0-1 and no history of hemoptysis; C. As maintenance therapy in the treatment of individuals with unresectable, locally advanced, recurrent or metastatic non-squamous, NSCLC when all of the following 1. Avastin was previously administered as an agent in a first-line combination chemotherapy regimen; AND 2. Avastin is being used as a single agent; AND 3. Avastin may be used until disease progression; VIII. In the treatment of individuals with recurrent, metastatic epithelial ovarian cancer, fallopian tube cancer or recurrent primary peritoneal cancer when all of the following A. Avastin is used as a single agent or in combination with other chemotherapy; AND B. Avastin is used in a single line of therapy; AND C. Avastin is used for relapsed or refractory disease; D. As maintenance therapy in individuals with recurrent, metastatic epithelial ovarian cancer, fallopian tube cancer or recurrent primary peritoneal cancer when all of the following 1. Avastin was previously administered as an agent in a first-line combination chemotherapy regiment; AND 2. Avastin is being used as a single agent; AND 3. Avastin may be used until disease progression; IX. In the treatment of individuals with symptomatic post-radiation necrosis of the central nervous system; IX. In the treatment of individuals with renal carcinoma (RCC) when either of the following A. Avastin is being used in first-line treatment of metastatic clear cell RCC in combination with interferon; B. Avastin is being used as a single agent for relapsed or medically unresectable stage IV disease with predominant clear cell histology in individuals who have progressed on prior cytokine therapy; C. Avastin is being used as a single agent for relapsed or medically unresectable stage IV disease with non-clear-cell histology; D. Avastin is being used for relapsed or medically unresectable stage IV non-clear cell RCC (including papillary RCC and hereditary leiomyomatosis and RCC [HLRCC]), in combination with erlotinib or everolimus. X. In the treatment of individuals with angiosarcoma AND is Avastin is used as a single agent; PAGE 3 of 5 02/19/2018
4 XI. In the treatment of individuals with solitary fibrous tumor and hemangiopericytoma and is using Avastin in combination with temozolomide. Avastin (bevacizumab) may not be approved in the treatment of all other conditions when the criteria above are not met, including but not limited to any of the following: I. Adjuvant therapy following surgery for stage II or III adenocarcinoma of the colon; II. Prostate cancer; III. Carcinoid tumors; IV. Metastatic melanoma; V. Metastatic adenocarcinoma of the pancreas; VI. Metastatic breast cancer, second line therapy or greater, for example when progression noted following anthracycline and taxane chemotherapy; VII. VIII. IX. Neurofibromatosis type 2; Treatment of a single condition with concomitant Avastin (bevacizumab) use with other targeted biologic agents (including but not limited to erlotinib, cetuximab, panitumumab, trastuzumab, lapatinib and ziv-aflibercept); When used in combination with the same irinotecan based regimen that was previously used in combination with ziv-aflibercept. Note: Avastin (bevacizumab) has black box warnings for gastrointestinal perforations, surgery and wound healing complications, and hemorrhage. Gastrointestinal perforation, some fatal, has occurred in up to 2.4% of treated individuals. Therapy should be discontinued if gastrointestinal perforation or wound dehiscence occurs. Therapy should be discontinued at least 28 days prior to elective surgery. Initiation of therapy should not occur for at least 28 days after surgery and not until the surgical wound is fully healed. Severe or fatal hemorrhage, including hemoptysis, gastrointestinal bleeding, central nervous system (CNS) hemorrhage, and vaginal bleeding, has occurred up to five-fold more frequently in Avastin-treated individuals. Do not administer to individuals with serious hemorrhage or recent hemoptysis. State name Date effective State Specific Mandates Mandate details (including specific bill if applicable) Key References: Avastin [Product Information]. South San Francisco, CA. Genentech, Inc.; December 6, Available at: Accessed on September 27, Azzoli C, Baker S, Temin S, et al. American Society of Clinical Oncology clinical practice guideline update on chemotherapy for Stage IV non-small-cell lung cancer. J Clin Oncol. 2009; 27(36): Bevacizumab. In: DrugPoints System (electronic version). Truven Health Analytics, Greenwood Village, CO. Updated August 15, Available at: Accessed on September 27, PAGE 4 of 5 02/19/2018
5 Bevacizumab Monograph. Lexicomp Online, American Hospital Formulary Service (AHFS ) Online, Hudson, Ohio, Lexi-Comp., Inc. Last revised September 22, Accessed on September 27, Irshad T, Olencki T, Zynger DL, et al. Bevacizumab in metastatic papillary renal cell carcinoma (PRCC) [abstract]. J Clin Oncol. 2011; 29:e Louis DN, Ohgaki H, Wiestler OD, et al. The 2007 WHO classification of tumours of the central nervous system. Acta Neurophathol. 2007; 114(2): Masters GA, Temin S, Azzoli CG, et al. Systemic therapy for stage IV non-small-cell lung cancer: American Society of Clinical Oncology Clinical Practice Guideline Update. J Clin Oncol. 2015; 33(30): NCCN Clinical Practice Guidelines in Oncology National Comprehensive Cancer Network, Inc. For additional information: Accessed on September 27, Breast Cancer (V2.2017). Revised April 6, Central Nervous System Cancers (V1.2017). Revised August 18, Cervical Cancer (V1.2017). Revised October 10, Colon Cancer (V2.2017). Revised March 13, Kidney Cancer (V1.2018). Revised September 7, Malignant Pleural Mesothelioma (V1.2017). Revised March 2, Melanoma (V2.2017). Revised July 7, Non-Small Cell Lung Cancer (V8.2017). Revised July 14, Ovarian Cancer Including Fallopian Tube Cancer and Primary Peritoneal Cancer (V3.2017). Revised August 30, Pancreatic Adenocarcinoma (V3.2017). Revised September 11, Prostate Cancer (V2.2017). Revised February 21, Rectal Cancer (V3.2017). Revised March 13, Soft Tissue Sarcoma (V2.2017). Revised February 8, Socinski MA, Evans T, Gettinger S, et al. Treatment of stage IV non-small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013; 143(5 Suppl):e341S-e368S. U.S. Food and Drug Administration Drug Safety and Awareness. Updated November Available at: Accessed on September 27, PAGE 5 of 5 02/19/2018
Clinical Policy: Bevacizumab (Avastin) Reference Number: ERX.SPMN.127
Clinical Policy: (Avastin) Reference Number: ERX.SPMN.127 Effective Date: 03/14 Last Review Date: 09/16 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationAvastin. Avastin (bevacizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.04 Subject: Avastin Page: 1 of 9 Last Review Date: September 20, 2018 Avastin Description Avastin
More informationAvastin (bevacizumab)
Avastin (bevacizumab) Policy Number: 5.02.502 Last Review: 04/2018 Origination: 03/2017 Next Review: 04/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for Avastin
More informationAvastin. Avastin (bevacizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.04.04 Subject: Avastin Page: 1 of 8 Last Review Date: December 3, 2015 Avastin Description Avastin (bevacizumab)
More informationAvastin. Avastin (bevacizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.04 Subject: Avastin Page: 1 of 9 Last Review Date: September 15, 2017 Avastin Description Avastin
More informationAvastin. Avastin (bevacizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.04 Subject: Avastin Page: 1 of 9 Last Review Date: June 22, 2017 Avastin Description Avastin (bevacizumab)
More informationAvastin Sample Coding
First- and Second-line Metastatic Colorectal Cancer C18.0 Malignant neoplasm of the cecum C18.1 Malignant neoplasm of appendix C18.2-C18.9 C19 C20 C21.8 Malignant neoplasm of the colon, various sites Malignant
More informationCLINICAL MEDICAL POLICY
CLINICAL MEDICAL POLICY Policy Name: Avastin (bevacizumab) Policy Number: MP-030-MD-DE Responsible Department(s): Medical Management; Clinical Pharmacy Provider Notice Date: 10/01/2017 Original Effective
More informationClinical Policy: Bevacizumab (Avastin) Reference Number: CP.PHAR.93
Clinical Policy: (Avastin) Reference Number: CP.PHAR.93 Effective Date: 12/11 Last Review Date: 04/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationLimitation(s) of use: Avastin is not indicated for adjuvant treatment of colon cancer.
Clinical Policy: (Avastin) Reference Number: CP.PHAR.93 Effective Date: 12.01.11 Last Review Date: 02.18 Line of Business: Commercial, Health Insurance Marketplace, Medicaid Coding Implications Revision
More informationSubject: Bevacizumab (Avastin ) Injection
09-J0000-66 Original Effective Date: 11/15/06 Reviewed: 06/13/18 Revised: 08/15/18 Subject: Bevacizumab (Avastin ) Injection THIS MEDICAL COVERAGE GUIDELINE IS NOT AN AUTHORIZATION, CERTIFICATION, EXPLANATION
More informationBevacizumab (Avastin)
Bevacizumab (Avastin) Policy Number: Original Effective Date: MM.04.001 09/14/2004 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST 03/01/2014 Section: Prescription Drugs Place(s) of Service:
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Bevacizumab (Avastin, Mvasi) Reference Number: CP.PHAR.93 Effective Date: 12.01.11 Last Review Date: 11.18 Line of Business: Commercial, HIM*, Medicaid Coding Implications Revision Log
More informationOPHTHALMOLOGIC POLICY: VASCULAR ENDOTHELIAL GROWTH FACTOR (VEGF) INHIBITORS
UnitedHealthcare Commercial Medical Benefit Drug Policy OPHTHALMOLOGIC POLICY: VASCULAR ENDOTHELIAL GROWTH FACTOR (VEGF) INHIBITORS Policy Number: PHA020 Effective Date: September 1, 2018 Table of Contents
More informationNational Cancer Drugs Fund List - Approved
National Cancer Drugs Fund List - Approved DRUG Abiraterone Aflibercet Albumin Bound Paclitaxel Axitinib CDF INDICATION (EXCLUDING APPROVED CRITERIA ) Metastatic Prostate Cancer Metastatic Colorectal Cancer
More informationClinical Policy: Temozolomide (Temodar) Reference Number: ERX.SPA.138 Effective Date:
Clinical Policy: (Temodar) Reference Number: ERX.SPA.138 Effective Date: 03.01.14 Last Review Date: 05.18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationTitle Cancer Drug Phase Status
Clinical Trial Identifier Title Cancer Drug Phase Status NCT01164995 Study With Wee-1 Inhibitor MK-1775 and Carboplatin to Treat p53 Mutated Refractory and Resistant Ovarian Cancer Epithelial Ovarian Cancer
More informationOphthalmologic Policy. Vascular Endothelial Growth Factor (VEGF) Inhibitors
Ophthalmologic Policy UnitedHealthcare Commercial Drug Policy Vascular Endothelial Growth Factor (VEGF) Inhibitors Policy Number: 2016D0042H Effective Date: October 1, 2016 Table of Contents Page INSTRUCTIONS
More informationAlimta (pemetrexed) Line(s) of Business: HMO; PPO; QUEST Integration Akamai Advantage
Alimta (pemetrexed) Line(s) of Business: HMO; PPO; QUEST Integration Akamai Advantage Original Effective Date: 09/01/2007 Current Effective Date: TBD003/01/201703/01/2018 POLICY A. INDICATIONS The indications
More informationCommissioning policies agreed by PCTs in Yorkshire and the Humber at Board meeting of YH SCG on December
Commissioning policies agreed by PCTs in Yorkshire and the Humber at Board meeting of YH SCG on December 17 2010. 32/10 Imatinib for gastrointestinal stromal tumours (unresectable/metastatic) (update on
More informationErbitux. Erbitux (cetuximab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.84 Subject: Erbitux Page: 1 of 6 Last Review Date: December 2, 2016 Erbitux Description Erbitux (cetuximab)
More informationNational Horizon Scanning Centre. Bevacizumab (Avastin) for glioblastoma multiforme - relapsed. August 2008
Bevacizumab (Avastin) for glioblastoma multiforme - relapsed August 2008 This technology summary is based on information available at the time of research and a limited literature search. It is not intended
More informationAVASTIN (bevacizumab) Solution for intravenous infusion Initial U.S. Approval: 2004 WARNING: GASTROINTESTINAL PERFORATIONS, SURGERY
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use AVASTIN safely and effectively. See full prescribing information for AVASTIN. AVASTIN (bevacizumab)
More informationMEDICAL PRIOR AUTHORIZATION
MEDICAL PRIOR AUTHORIZATION TAXOTERE (docetaxel) DOCEFREZ(docetaxel) docetaxel (generic) POLICY I. INDICATIONS The indications below including FDA-approved indications and compendial uses are considered
More informationNEWS RELEASE Media Contact: Megan Pace Investor Contact: Kathee Littrell Patient Inquiries: Ajanta Horan
NEWS RELEASE Media Contact: Megan Pace 650-467-7334 Investor Contact: Kathee Littrell 650-225-1034 Patient Inquiries: Ajanta Horan 650-467-1741 GENENTECH RECEIVES COMPLETE RESPONSE LETTER FROM FDA FOR
More informationKidney Cancer. Version February 6, NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines )
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines ) Kidney Cancer Overall management of Kidney Cancer from diagnosis through recurrence is described in the full NCCN Guidelines for Kidney
More informationGenentech Statement on Counterfeit Drug Labeled as Avastin (bevacizumab) in the United States
Genentech Statement on Counterfeit Drug Labeled as Avastin (bevacizumab) in the United States SOUTH SAN FRANCISCO, Calif. February 14, 2012 Roche and Genentech have been informed that a counterfeit product,
More informationDiscover the facts about
Avastin is approved to treat metastatic colorectal cancer (mcrc) for: First- or second-line treatment in combination with intravenous 5-fluorouracil based chemotherapy Second-line treatment when used with
More informationNEWS RELEASE Media Contact: Krysta Pellegrino (650) Investor Contact: Sue Morris (650) Advocacy Contact: Kristin Reed (650)
NEWS RELEASE Media Contact: Krysta Pellegrino (650) 225-8226 Investor Contact: Sue Morris (650) 225-6523 Advocacy Contact: Kristin Reed (650) 467-9831 FDA APPROVES AVASTIN IN COMBINATION WITH CHEMOTHERAPY
More informationName of Policy: Bevacizumab, Avastin
Name of Policy: Bevacizumab, Avastin Policy #: 377 Latest Review Date: September 2013 Category: Pharmacology Policy Grade: B Background/Definitions: As a general rule, benefits are payable under Blue Cross
More informationSutent. Sutent (sunitinib) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.95 Subject: Sutent Page: 1 of 6 Last Review Date: March 16, 2018 Sutent Description Sutent (sunitinib)
More informationBevacizumab 7.5mg/kg Therapy 21 days
INDICATIONS FOR USE: Bevacizumab 7.5mg/kg Therapy 21 days INDICATION ICD10 Regimen Code *Reimbursement status In combination with fluoropyrimidine-based chemotherapy for C18 00214a Hospital treatment of
More informationEligibility Form. 1. Patient Profile. (This form must be completed before the first dose is dispensed.) Request prior approval for enrolment
Bevacizumab in combination with Paclitaxel and Carboplatin - Frontline Treatment (Previously Untreated) Ovarian, Fallopian Tube, and Primary Peritoneal Cancer (This form must be completed before the first
More informationAvastin (bevacizumab) (Intravenous/Intravitreal)
(Intravenous/Intravitreal) Date of Origin: 10/17/08 Dates Reviewed: 6/17/2009, 12/22/2009, 03/2010, 06/2010, 09/21/2010, 12/2010, 2/15/2011, 03/2011, 06/2011, 09/2011, 12/2011, 03/2011, 6/19/2012, 09/06/2012,
More informationFDA APPROVES AVASTIN FOR THE MOST COMMON TYPE OF KIDNEY CANCER
NEWS RELEASE Media Contact: Amy Berry (650) 467-6800 Advocacy Contact: Kristin Reed (650) 467-9831 Investor Contacts: Kathee Littrell (650) 225-1034 Karl Mahler 011 41 61 687 85 03 FDA APPROVES AVASTIN
More informationClinical Policy: Nivolumab (Opdivo) Reference Number: CP.PHAR.121 Effective Date: Last Review Date: Line of Business: Medicaid
Clinical Policy: (Opdivo) Reference Number: CP.PHAR.121 Effective Date: 07.15 Last Review Date: 01.18 Line of Business: Medicaid Revision Log See Important Reminder at the end of this policy for important
More informationBevacizumab 10mg/kg 14 days
INDICATIONS FOR USE: Bevacizumab 10mg/kg 14 days Regimen Code 00212a *Reimbursement status Hospital INDICATION ICD10 In combination with fluoropyrimidine-based chemotherapy C18 for treatment of adult patients
More informationPolicy. Medical Policy Manual Approved Revised: Do Not Implement Until 3/2/19. Nivolumab (Intravenous)
Nivolumab (Intravenous) NDC CODE(S) 00003-3772-XX Opdivo 40 MG/4ML SOLN (B-M SQUIBB U.S. (PRIMARY CARE)) 00003-3774-XX Opdivo 100 MG/10ML SOLN (B-M SQUIBB U.S. (PRIMARY CARE)) 00003-3734-XX Opdivo 240
More informationPolicy. Medical Policy Manual Approved Revised: Do Not Implement until 6/30/2019. Nivolumab
Medical Manual Approved Revised: Do Not Implement until 6/30/2019 Nivolumab NDC CODE(S) 00003-3772-XX Opdivo 40 MG/4ML SOLN (B-M SQUIBB U.S. (PRIMARY CARE)) 00003-3774-XX Opdivo 100 MG/10ML SOLN (B-M SQUIBB
More informationCHK1 Inhibitor. Prexasertib, LY MsOH H 2 O. Drug Discovery Platform: Cancer Cell Signaling
CHK1 Inhibitor Prexasertib, LY2606368 MsOH H 2 O Derived from Garrett MD and Collins I 1 ; Thompson R and Eastman A. 2 Drug Discovery Platform: Cancer Cell Signaling A Phase 2 Study of LY2606368 in Patients
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Lynparza) Reference Number: CP.PHAR.360 Effective Date: 10.03.17 Last Review Date: 02.18 Line of Business: Commercial, Medicaid Revision Log See Important Reminder at the end of this
More informationThe Clinical Research E-News
Volume 3: ISSUE 5: March 23, 2011 The Clinical Research E-News Now Open: CALGB 90802, Randomized Phase III trial comparing everolimus plus placebo versus everolimus plus bevacizumab for advanced renal
More informationNational Horizon Scanning Centre. Aflibercept (VEGF Trap) for advanced chemo-refractory epithelial ovarian cancer. December 2007
Aflibercept (VEGF Trap) for advanced chemo-refractory epithelial ovarian cancer December 2007 This technology summary is based on information available at the time of research and a limited literature
More informationAVASTIN IN ACTION. Blood Vessels
AVASTIN IN ACTION Avastin is approved for: Metastatic colorectal cancer (mcrc) for first- or second-line treatment in combination with intravenous 5-fluorouracil based chemotherapy. It is also approved
More informationImaging Cancer Treatment Complications in the Chest
Imaging Cancer Treatment Complications in the Chest Michelle S. Ginsberg, MD Objectives Imaging Cancer Treatment Complications in the Chest To understand the mechanisms of action of different classes of
More informationAvastin (bevacizumab) and PARP inhibitor approvals in ovarian cancer as of June 2018
Avastin (bevacizumab) and PARP inhibitor approvals in ovarian cancer as of June 2018 The following graphic illustrates where Avastin and PARP inhibitors are currently approved in ovarian cancer. 1-4 *
More informationThe Clinical Research E-News
Volume 3: ISSUE 8: May 5, 2011 The Clinical Research E-News Jefferson Kimmel Cancer Network: For urgent clinical trial questions or assistance please page: 877-656-9004 Now Open: E2906, Phase III randomized
More informationWhere Are Anti-Angiogenic Agents Positioned Within Cancer Care Guidelines?
Introduction Additionally, other anti-angiogenic drugs, including sorafenib, sunitinib, axitinib, pazopanib, vandetanib, The development and subsequent use of drugs for treating cancer cabozantinib, and
More informationKeytruda (pembrolizumab)
Keytruda (pembrolizumab) Line(s) of Business: HMO; PPO; QUEST Integration Akamai Advantage Original Effective Date: 10/01/2015 Current Effective Date: 07/24/2017TBD03/01/2018 POLICY A. INDICATIONS The
More informationLipoplatin monotherapy for oncologists
Lipoplatin monotherapy for oncologists Dr. George Stathopoulos demonstrated that Lipoplatin monotherapy against adenocarcinomas of the lung can have very high efficacy (38% partial response, 43% stable
More informationClinical Policy: Pazopanib (Votrient) Reference Number: ERX.SPA.139 Effective Date:
Clinical Policy: (Votrient) Reference Number: ERX.SPA.139 Effective Date: 03.01.14 Last Review Date: 08.18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationUnitedHealthcare Pharmacy Clinical Pharmacy Programs
UnitedHealthcare Pharmacy Clinical Pharmacy Programs Program Number 2017 P 1101-7 Program Prior Authorization/Notification Medication Sutent (sunitinib malate) P&T Approval Date 8/2008, 6/2009, 6/2010,
More informationNCCP Chemotherapy Regimen. Bevacizumab 15mg/kg Therapy 21 days
Bevacizumab 15mg/kg Therapy 21 days INDICATIONS FOR USE: INDICATION ICD10 Regimen Code In combination with carboplatin and paclitaxel is indicated for the frontline 00215a treatment of adult patients with
More informationClinical Policy: Cetuximab (Erbitux) Reference Number: PA.CP.PHAR.317
Clinical Policy: (Erbitux) Reference Number: PA.CP.PHAR.317 Effective Date: 01/18 Last Review Date: 11/17 Coding Implications Revision Log Description The intent of the criteria is to ensure that patients
More informationSUPPLEMENTARY INFORMATION
SUPPLEMENTARY NFORMATON n format provided by Melero et al. (AUGUST 2015) Supplementary nformation S3 Combinations including two or more immunotherapy agents based on PD-1/PD-L1 blockade. (Source: https://clinicaltrials.gov/
More informationTarceva. Tarceva (erlotinib) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.82 Subject: Tarceva Page: 1 of 5 Last Review Date: June 22, 2018 Tarceva Description Tarceva (erlotinib)
More informationIntroduction: Overview of Current Status of Lung Cancer Predictive Biomarkers
Introduction: Overview of Current Status of Lung Cancer Predictive Biomarkers Program 7:15 7:40 Translocations as predictive biomarkers in lung cancer: Overview Mari Mino Kenudson, MD 7:40 8:05 Translocation
More informationEuropean Medicines Agency decision
EMA/738884/2013 European Medicines Agency decision P/0004/2014 of 22 January 2014 on the acceptance of a modification of an agreed paediatric investigation plan for bevacizumab (Avastin), (EMEA-000056-PIP01-07-M02)
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Pazopanib (Votrient) Reference Number: CP.PHAR.81 Effective Date: 10.01.18 Last Review Date: 07.13.18 Line of Business: Oregon Health Plan Revision Log See Important Reminder at the end
More informationClinical Policy: Nivolumab (Opdivo) Reference Number: CP.PHAR.121
Clinical Policy: (Opdivo) Reference Number: CP.PHAR.121 Effective Date: 07/15 Last Review Date: 04/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationLondon Cancer New Drugs Group. February London Cancer New Drugs Group (LCNDG) Work Plan for the London Cancer Drugs Fund list.
February 2013 London Cancer New s Group (LCNDG) Work Plan for the London Cancer s Fund London Cancer s Fund List This Cancer s Fund (CDF) list of medicines and s is in two parts. 1. The standard list of
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Herceptin) Reference Number: ERX.SPA.42 Effective Date: 07.01.16 Last Review Date: 05/17 Line of Business: Commercial [Prescription Drug Plan] Revision Log See Important Reminder at the
More informationWorking Formulary January 2013 Oncology Chemotherapy Regimens
Working Formulary January 2013 Oncology Chemotherapy Regimens In the currently changing commissioning landscape, this document is intended to represent the up to date list of non clinical trial chemotherapy
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Abraxane) Reference Number: CP.PHAR.176 Effective Date: 07.01.15 Last Review Date: 05.18 Line of Business: HIM, Medicaid Coding Implications Revision Log See Important Reminder at the
More informationAVASTIN (bevacizumab) Solution for intravenous infusion Initial U.S. Approval: 2004 WARNING: GASTROINTESTINAL PERFORATIONS, SURGERY
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use AVASTIN safely and effectively. See full prescribing information for AVASTIN. AVASTIN (bevacizumab)
More informationDiscover the facts about
Avastin is approved to treat glioblastoma (GBM) in adult patients whose cancer has progressed after prior treatment. The effectiveness of Avastin in GBM is based on tumor response. Currently, no data have
More informationAVASTIN (bevacizumab) injection, for intravenous use Initial U.S. Approval: 2004 WARNING: GASTROINTESTINAL PERFORATIONS, SURGERY
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use AVASTIN safely and effectively. See full prescribing information for AVASTIN. AVASTIN (bevacizumab)
More informationNCIC CLINICAL TRIALS GROUP DATA SAFETY MONITORING COMMITTEE Fall Conference Call 23 November 2009 SUMMARY REPORT
NCIC CLINICAL TRIALS GROUP DATA SAFETY MONITORING COMMITTEE Fall Conference Call 23 November 2009 SUMMARY REPORT The NCIC CTG DSMC reviewed the following trials with respect to safety, trial conduct, including
More informationKeytruda. Keytruda (pembrolizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.50 Subject: Keytruda Page: 1 of 9 Last Review Date: November 30, 2018 Keytruda Description Keytruda
More informationAvastin AHM. Clinical Indications
Avastin AHM Clinical Indications Avastin (bevacizumab) is considered medically necessary for 1 or more of the following indications Angiosarcoma Appendiceal cancer Hemangiopericytoma Gliomas including
More informationUnitedHealthcare Pharmacy Clinical Pharmacy Programs
UnitedHealthcare Pharmacy Clinical Pharmacy Programs Program Number 2017 P 1113-6 Program Prior Authorization/Notification Medication Votrient TM (pazopanib) P&T Approval Date 1/12/2010, 9/2010, 12/2010,
More informationNCIC CLINICAL TRIALS GROUP DATA SAFETY MONITORING COMMITTEE Friday, 1 May 2009 SUMMARY REPORT
NCIC CLINICAL TRIALS GROUP DATA SAFETY MONITORING COMMITTEE Friday, 1 May 2009 SUMMARY REPORT The NCIC CTG DSMC reviewed the following trials with respect to safety, trial conduct, including accrual, and
More informationThe Royal Marsden NHS Foundation Trust Medicines Formulary. NICE register for medicines initiated at the trust. Type and code. Publication.
NICE register for medicines initiated at the trust. CG denotes Clinical Guideline TA denotes Technical Appraisal For further information about NICE and full guidelines please refer to www.nice.org.uk Title
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abdominal drainage, after hepatic resection, 159 160 Ablation, radiofrequency, for hepatocellular carcinoma, 160 161 Adenocarcinoma, pancreatic.
More informationMetastatic colorectal cancer (2.2) 5 mg/kg IV every 2 weeks with bolus-ifl
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use MVASI safely and effectively. See full prescribing information for MVASI. MVASI (bevacizumab-awwb)
More informationKeytruda. Keytruda (pembrolizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.50 Subject: Keytruda Page: 1 of 9 Last Review Date: September 20, 2018 Keytruda Description Keytruda
More informationAfinitor. Afinitor and Afinitor Disperz (everolimus) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.62 Subject: Afinitor Page: 1 of 9 Last Review Date: June 22, 2018 Afinitor Description Afinitor and
More informationAvastin NAME OF THE MEDICINE DESCRIPTION PHARMACOLOGY. bevacizumab (rch)
NAME OF THE MEDICINE Avastin bevacizumab (rch) CAS 216974-75-3 Bevacizumab is an immunoglobulin G (IgG) composed of two identical light chains, consisting of 214 amino acid residues and two 453 residue
More informationClinical Policy: Pemetrexed (Alimta) Reference Number: CP.PHAR.368 Effective Date: Last Review Date: Line of Business: Medicaid
Clinical Policy: (Alimta) Reference Number: CP.PHAR.368 Effective Date: 10.31.17 Last Review Date: 02.18 Line of Business: Medicaid Coding Implications Revision Log See Important Reminder at the end of
More informationUnitedHealthcare Pharmacy Clinical Pharmacy Programs
UnitedHealthcare Pharmacy Clinical Pharmacy Programs Program Number 2017 P 1104-7 Program Prior Authorization/Notification Medication Tarceva (erlotinib) P&T Approval Date 8/2008, 6/2009, 6/2010, 9/2010,
More informationDocetaxel. Class: Antineoplastic agent, Antimicrotubular, Taxane derivative.
Docetaxel Class: Antineoplastic agent, Antimicrotubular, Taxane derivative. Indications: -Breast cancer: -Non small cell lung cancer -Prostate cancer -Gastric adenocarcinoma _Head and neck cancer Unlabeled
More informationEuropean Medicines Agency decision
EMA/738885/2013 European Medicines Agency decision P/0005/2014 of 22 January 2014 on the acceptance of a modification of an agreed paediatric investigation plan for bevacizumab (Avastin), (EMEA-000056-PIP03-10-M02)
More informationThe Clinical Research E-News
The Clinical Research E-News Volume 6: ISSUE 5: May 14, 2014 Jefferson Kimmel Cancer Center Network: For urgent clinical trial questions or assistance please page: 877-656-9004 New Featured Trials Actively
More informationHumira (adalimumab) DRUG.00002
Humira (adalimumab) DRUG.00002 Override(s) Prior Authorization Quantity Limit Approval Duration 1 year Medications Humira 10 mg/0.2 ml syringe Humira pediatric Crohn s Disease starter pack 40 mg/0.8 ml
More informationThe Clinical Research E-News
Volume 3: ISSUE 3: February 16, 2011 The Clinical Research E-News Now Open: RTOG 0631, Phase II/III Study of Image-Guided Radiosurgery/SBRT for Localized Spine Metastasis RTOG 1010, A Phase III Trial Evaluating
More informationBLA /SECONDARY TRACKING NUMBER 301 SUPPLEMENT APPROVAL
DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Silver Spring MD 20993 BLA 125085/SECONDARY TRACKING NUMBER 301 SUPPLEMENT APPROVAL Genentech, Inc. Attention: Gladys Ingle Regulatory
More informationIs Bevacizumab (Avastin) Safe and Effective as Adjuvant Chemotherapy for Adult Patients With Stage IIIb or IV Non-Small Cell Lung Carcinoma (NSCLC)?
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2014 Is Bevacizumab (Avastin) Safe and Effective
More informationINFORMED CONSENT FOR AVASTIN TM (BEVACIZUMAB) INTRAVITREAL INJECTION
INFORMED CONSENT FOR AVASTIN TM (BEVACIZUMAB) INTRAVITREAL INJECTION INDICATIONS: Age-related macular degeneration (AMD) is the leading cause of blindness in people over 50 years of age. It is caused by
More informationVotrient. Votrient (pazopanib) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.83 Subject: Votrient Page: 1 of 6 Last Review Date: December 2, 2016 Votrient Description Votrient
More informationANNEX I SUMMARY OF PRODUCT CHARACTERISTICS
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT Avastin 25 mg/ml concentrate for solution for infusion. 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each ml of concentrate
More informationAdvances in Chemotherapy for Non-Small Cell Lung Cancer
Advances in Chemotherapy for Non-Small Cell Lung Cancer Evan W. Alley, MD, PhD Clinical Associate Professor Abramson Cancer Center at Penn Presbyterian Lung Cancer: Overview Second most common cancer in
More informationSelect codes for your reference 1-9
Avastin (bevacizumab), is NOW APPROVED in combination with fluoropyrimidine-irinotecan- or fluoropyrimidine-oxaliplatinbased chemotherapy, for the second-line treatment of patients with metastatic colorectal
More informationRoche setting the standards of cancer care Oncology Event for Investors, June 19
Roche setting the standards of cancer care Oncology Event for Investors, June 19 Kapil Dhingra, VP Medical Science Developing a drug to the standard of care Superior clinical benefit, resources and time
More informationTable Selected Clinical Trials of Anti-Angiogenesis Therapy in Gynecologic Malignancies
Table Selected Clinical Trials of Anti-Angiogenesis Therapy in Gynecologic Malignancies Uterus Study N Eligibility Regimen RR (No. of Responses) Median OS Grade 3/4 Toxicities Nimeiri et al[42] Total:
More informationInflectra (infliximab-dyyb), Remicade (infliximab), Renflexis (infliximab-abda) DRUG CG-DRUG-64
Inflectra (infliximab-dyyb), Remicade (infliximab), Renflexis (infliximab-abda) DRUG.00002 CG-DRUG-64 Override(s) Prior Authorization *Washington Medicaid See State Specific Mandates Medications Inflectra
More informationAzacitidine Vidaza Non-transplant myelodysplastic syndrome Funded Funded Funded Funded Funded Funded Not Funded
Provincial Fundin Summary The interim Joint Oncoloy Dru Review (ijodr) was the precursor oncoloy dru review process prior to pcodr, which provided evidence-based recommendation for cancer treatments from
More informationNational Comprehensive Cancer Network Guideline Updates From the 15th Annual Congress
Continuing Education Continuing Education National Comprehensive Cancer Network Guideline Updates From the 15th Annual Congress Anthony Elias, MD Author Disclosure: Anthony Elias, MD, discloses that he
More informationManagement of advanced non small cell lung cancer
Management of advanced non small cell lung cancer Jean-Paul Sculier Intensive Care & Thoracic Oncology Institut Jules Bordet Université Libre de Bruxelles (ULB) www.pneumocancero.com Declaration No conflict
More informationThe Clinical Research E-News
Volume 2: ISSUE 5: March 10, 2010 The Clinical Research E-News Coming soon: AZ1071, A Phase II Study Evaluating the Role of Sentinel Lymph Node Surgery and Axillary Lymph Node Dissection Following Preoperative
More informationMedia Release. Third phase III study of Avastin-based regimen met primary endpoint in ovarian cancer. Basel, 08 February 2011
Media Release Basel, 08 February 2011 Third phase III study of Avastin-based regimen met primary endpoint in ovarian cancer Avastin study in recurrent, platinum-sensitive ovarian cancer showed women lived
More information