Drug Class Monograph. Policy/Criteria:
|
|
- Margaret Weaver
- 6 years ago
- Views:
Transcription
1 Drug Class Monograph Class: Pulmonary Arterial Hypertension Agents Drugs: Adcirca (tadalafil), Adempas (riociguat), Flolan (epoprostenol), Letairis (ambrisentan), Opsumit (macitentan), Orenitram (treprostinil), Remodulin (treprostinil), Revatio (sildenafil), Tracleer (bosentan), Tyvaso (treprostinil), Uptravi (selexipag), Veletri (epoprostenol), Ventavis (Iloprost) Line of Business: Medi-Cal Effective Date: February 15, 2017 Revision Date: February 15, 2017 This policy has been developed through review of medical literature, consideration of medical necessity, generally accepted medical practice standards, and approved by the IEHP Pharmacy and Therapeutic Subcommittee. Policy/Criteria: 1. Adcirca (tadalafil), Revatio (sildenafil) b. Documented WHO Functional Class II or above; c. Prescribed by a cardiologist or a pulmonologist; d. Formulary Position: Revatio (sildenafil) is the preferred phosphodiesterase type 5 enzyme (PDE-5) inhibitor. 2. Adempas (riociguat), Letairis (ambrisentan), Opsumit (macitentan), Orenitram (treprostinil), Tracleer (bosentan), Uptravi (selexipag) b. Documented WHO Functional Class II or above; c. Prescribed by a cardiologist or a pulmonologist; d. Inadequate response or clinically significant adverse effects to one of the PDE-5 inhibitors (Revatio, Adcirca). 3. Flolan (epoprostenol), Remodulin (treprostinil), Veletri (epoprostenol) b. Prescribed by a cardiologist or a pulmonologist; c. One of the following documentation: WHO Functional Class III with evidence of rapid disease progression or other markers of a poor clinical prognosis; WHO Functional Class IV.
2 4. Tyvaso (treprostinil), Ventavis (iloprost) b. Prescribed by a cardiologist or a pulmonologist; c. Member is not a candidate for parenteral prostanoid therapy (e.g. Flolan, Veletri, Remodulin); d. One of the following documentation: WHO Functional Class III with evidence of disease progression, despite therapy with at least one oral PAH agent; WHO Functional Class IV. Clinical Justification: 2014 CHEST Guideline: Pharmacologic Therapy for Pulmonary Arterial Hypertension in Adults Patients with WHO Functional Class II Symptoms: Direct comparisons of available oral therapies for PAH monotherapy for treatment-naïve patients have not been performed, and we do not make recommendations or suggestions of one agent, or class of agent, over another. For treatment-naïve patients with PAH with WHO FC II symptoms who are not candidates for, or who have failed, CCB therapy, we advise monotherapy be initiated with a currently approved ETRA, PDE5 inhibitor or the soluble guanylate cyclase sitmulator riociguat. o We recommend ambrisentan to improve 6MWD (Grade 1C). 10mg of ambrisentan resulted in greater improvement in 6MWD than 5mg without an observed increase in adverse effects. o We suggest bosentan to delay time to clinical worsening (Grade CB) and improve cardiopulmonary Bosentan >125mg bid is associated with greater incidence of transaminase elevation and is not recommended. o We suggest macitentan to delay the time to clinical worsening (Grade CB). o We recommend sildenafil to improve 6MWD (Grade 1C). For patients who fail to demonstrate and maintain an adequate clinical response to 20mg sildenafil tid, we recommend consideration of increasing the dose to a maximum of 80mg tid or adding another agent. o We suggest tadalafil to improve 6MWD (Grade CB) o We suggest riociguat to improve 6MWD (Grade CB), improve WHO FC (Grade CB), delay time to clinical worsening (Grade CB) and improve cardiopulmonary Based upon currently available evidence showing a risk of systemic hypotension when co-administered with a PDE5 inhibitor, male patients treated with riociguat should be cautioned not to use PDE5 inhibitors for erectile dysfunction. We suggest that parenteral or inhaled prostanoids not be chosen as initial therapy for treatment naïve PAH patients with WHO FC II symptoms or as second line agents for PAH patients with WHO FC II symptoms who have not met their treatment goals.
3 Patients with WHO Functional Class III Symptoms: Direct comparison of available oral therapies for PAH monotherapy for treatment-naïve patients have not been performed, and we do not make recommendations or suggestions of one agent, or class of agent, over another. For treatment-naïve PAH patients with WHO FC III symptoms who are not candidates for, or who have failed CCB therapy, we advise monotherapy be initiated with a currently approved ETRA, a PDE5 inhibitor, or the soluble guanylate cyclase stimulator riociguat. More specifically in these patients: o We recommend the use of bosentan to improve 6MWD (Grade 1B). o We suggest the use of bosentan to decrease hospitalization related to PAH in the shortterm (Grade 2C), and to improve cardiopulmonary o We recommend the use of ambrisentan to improve 6MWD (Grade 1C). o We suggest macitentan to improve WHO FC (Grade CB) and delay the time to clinical worsening (Grade CB). o We recommend the use of sildenafil to improve 6MWD (Grade 1C) and to improve WHO FC (Grade CB). We suggest the use of sildenafil to improve cardiopulmonary o We suggest the use of tadalafil to improve 6MWD (Grade CB), to improve WHO FC (Grade CB), to delay time to clinical worsening (Grade CB) and to improve cardiopulmonary o We suggest riociguat to improve 6MWD (Grade CB), improve WHO FC (Grade CB), delay the time to clinical worsening (Grade CB) and improve cardiopulmonary For treatment naïve PAH patients with WHO FC III symptoms who have evidence of rapid progression of their disease, or other markers of a poor clinical prognosis, we advise consideration of initial treatment with a parenteral prostanoid. More specifically in these patients: o We suggest continuous IV epoprostenol to improve FC (Grade CB), improve 6MWD (Grade CB), and improve cardiopulmonary o We suggest continuous IV treprostinil to improve 6MWD (Grade CB). o We suggest continuous subcutaneous treprostinil to improve 6MWD (Grade CB) and improve cardiopulmonary For PAH patients in WHO FC III who have evidence of progression of their disease, and/or markers of poor clinical prognosis despite treatment with one or two classes of oral agents, we advise consideration of the addition of a parenteral or inhaled prostanoid. More specifically in these patients: o We suggest IV epoprostenol to improve WHO FC (Grade CB), improve 6MWD (Grade CB), and improve cardiopulmonary o We suggest IV treprostinil to improve 6MWD (Grade CB) and improve cardiopulmonary o In patients with PAH who remain symptomatic on stable and appropriate doses of an ETRA or an PDE5 inhibitor, we suggest the addition of inhaled treprostinil to improve 6MWD (Grade 2C).
4 o In patients with PAH who remain symptomatic on stable and appropriate doses of an ETRA or a PDE5 inhibitor, we suggest the addition of inhaled iloprost to improve WHO FC (Grade CB) and delay the time to clinical worsening (Grade CB). Patients with WHO FC IV Symptoms For treatment naïve PAH patients in WHO FC IV, we advise initiation of monotherapy with a parenteral prostanoid agent. More specifically in these patients: o We suggest continuous IV epoprostenol to improve WHO FC (Grade CB), improve 6MWD (Grade CB), and improve cardiopulmonary o We suggest continuous IV treprostinil to improve 6MWD (Grade CB). o We suggest continuous subcutaneous treprostinil to improve 6MWD (Grade CB) and improve cardiopulmonary For treatment naïve PAH patients in WHO FC IV who are unable or do not desire to manage parenteral prostanoid therapy, we advise treatment with an inhaled prostanoid in combination with an ETRA. More specifically in these patients: o We suggest bosentan to improve 6MWD (Grade 2B) and cardiopulmonary o We suggest inhaled iloprost to improve 6MWD (Grade CB), and improve WHO FC (Grade CB). o We suggest inhaled treprostinil (in combination only) to improve 6MWD (Grade CB) CHEST Guideline: Pharmacologic Therapy for Pulmonary Arterial Hypertension in Adults
5 2015 ESC/ERS Guidelines for the Diagnosis and Treatment of Pulmonary Hypertension Reference: 1. GalieN, Humbert M, Vachiery JL, et al. Eur Heart J 2016;37(1): Taichman DB, Ornelas J, Chung L, et al. CHEST 2014; 146: Orenitram (treprostinil tablet, extended release) [Package Insert]. Research Triangle Park, NC: United Therapeutics Corp; Uptravi (selexipag tablet) [Package Insert]. South San Francisco, CA: Actelion Pharmaceuticals US, Inc.; Adempas (riociguat tablet) [Package Insert]. Whippany, NJ: Bayer HealthCare Pharmaceuticals Inc.; Letairis (ambrisentan tablet) [Package Insert]. Foster City, CA: Gilead Sciences, Inc.; Tracleer (bosentan tablet) [Package Insert]. South San Francisco, CA: Actelion Pharmaceuticals US, Inc.; 2016.
6 Change Control Date Change 02/15/2017 PDE-5 inhibitor (e.g. Revatio) is the preferred non-formulary oral PAH agent for Orenitram and Uptravi Revised criteria for inhaled prostacyclin agents (e.g. Tyvaso, Ventavis): o Pulmonary arterial hypertension, WHO functional class III with evidence of disease progression, despite therapy with at least one oral PAH agent
Pulmonary Arterial Hypertension Drug Prior Authorization Protocol
Pulmonary Arterial Hypertension Drug Prior Authorization Protocol Line of Business: Medicaid P&T Approval Date: February 21, 2018 Effective Date: April 1, 2018 This policy has been developed through review
More information1. Phosphodiesterase Type 5 Enzyme Inhibitors: Sildenafil (Revatio), Tadalafil (Adcirca)
This policy has been developed through review of medical literature, consideration of medical necessity, generally accepted medical practice standards, and approved by the IEHP Pharmacy and Therapeutic
More information2017 UnitedHealthcare Services, Inc.
UnitedHealthcare Pharmacy Clinical Pharmacy Programs Program Number 2017 P 2020-10 Program Prior Authorization/Medical Necessity PAH Agents Medication Adcirca (tadalafil), Adempas (riociguat), Letairis
More informationPULMONARY ARTERIAL HYPERTENSION AGENTS
Approvable Criteria: PULMONARY ARTERIAL HYPERTENSION AGENTS Brand Name Generic Name Length of Authorization Adcirca tadalafil Calendar Year Adempas riociguat Calendar Year Flolan epoprostenol sodium Calendar
More informationClinical Policy: Macitentan (Opsumit) Reference Number: ERX.SPMN.88
Clinical Policy: (Opsumit) Reference Number: ERX.SPMN.88 Effective Date: 07/16 Last Review Date: 06/16 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationHARVARD PILGRIM HEALTH CARE RECOMMENDED MEDICATION REQUEST GUIDELINES
Generic Brand HICL GCN Exception/Other SELEXIPAG UPTRAVI 42922 TREPROSTINIL ORENITRAM ER 40827 If the caller wishes to initiate a request then a MRF must be completed. This drug requires a written request
More informationClinical Policy: Ambrisentan (Letairis) Reference Number: ERX.SPMN.84 Effective Date: 07/16
Clinical Policy: (Letairis) Reference Number: ERX.SPMN.84 Effective Date: 07/16 Last Review Date: 06/16 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationClinical Policy: Treprostinil (Orenitram, Remodulin, Tyvaso) Reference Number: ERX.SPA.36 Effective Date:
Clinical Policy: (Orenitram, Remodulin, Tyvaso) Reference Number: ERX.SPA.36 Effective Date: 07.01.16 Last Review Date: 02.18 Revision Log See Important Reminder at the end of this policy for important
More informationClinical Policy: Treprostinil (Orenitram, Remodulin, Tyvaso) Reference Number: ERX.SPA.36 Effective Date:
Clinical Policy: (Orenitram, Remodulin, Tyvaso) Reference Number: ERX.SPA.36 Effective Date: 07.01.16 Last Review Date: 02.19 Revision Log See Important Reminder at the end of this policy for important
More informationOral Therapies for Pulmonary Arterial Hypertension
Oral Therapies for Pulmonary Arterial Hypertension Leslie Wooten, PharmD PGY2 Internal Medicine Pharmacy Resident University of Cincinnati Medical Center April 30 th, 2018 Objectives Pharmacist Objectives
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Ambrisentan (Letairis) Reference Number: CP.PHAR.190 Effective Date: 07.01.18 Last Review Date: 01.12.18 Line of Business: Oregon Health Plan Revision Log See Important Reminder at the
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Opsumit) Reference Number: CP.PHAR.194 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, Health Insurance Marketplace, Medicaid Revision Log See Important Reminder
More informationUpdates on Pulmonary Hypertension Treatment
Updates on Pulmonary Hypertension Treatment Dane Mellgren, PharmD PGY-1 Pharmacy Practice Resident Hennepin County Medical Center 04/27/18 Disclosure I have no disclosures to be made regarding the content
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Adcirca) Reference Number: HIM.PA.SP23 Effective Date: 05/17 Last Review Date: Line of Business: Health Insurance Marketplace Coding Implications Revision Log See Important Reminder at
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Letairis) Reference Number: CP.PHAR.190 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Health Insurance Marketplace, Medicaid Revision Log See Important Reminder at the
More informationCoding Implications Revision Log. See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Orenitram, Remodulin, Tyvaso) Reference Number: CP.PHAR.199 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, HIM*, Medicaid Description (Orenitram, Remodulin,
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Orenitram, Remodulin, Tyvaso) Reference Number: CP.PHAR.199 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, HIM*, Medicaid Coding Implications Revision Log
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Orenitram, Remodulin, Tyvaso) Reference Number: CP.PHAR.199 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, Health Insurance Marketplace, Medicaid Coding Implications
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Flolan, Veletri) Reference Number: CP.PHAR.192 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, Medicaid Coding Implications Revision Log See Important Reminder
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Treprostinil (Orenitram, Remodulin, Tyvaso) Reference Number: CP.PHAR.199 Effective Date: 07.01.18 Last Review Date: 01.12.18 Line of Business: Oregon Health Plan Coding Implications Revision
More informationPharmacy Medical Necessity Guidelines: Pulmonary Hypertension Medications
Pharmacy Medical Necessity Guidelines: Pulmonary Hypertension Medications Effective: January 15, 2018 Prior Authorization Required Type of Review Care Management Not Covered Type of Review Clinical Review
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Tracleer) Reference Number: CP.PHAR.191 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, HIM, Medicaid Revision Log See Important Reminder at the end of this
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Revatio) Reference Number: CP.PHAR.197 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, Health Insurance Marketplace, Medicaid Revision Log See Important Reminder
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Letairis) Reference Number: CP.PHAR.190 Effective Date: 03.16 Last Review Date: 02.19 Line of Business: Commercial, HIM, Medicaid Revision Log See Important Reminder at the end of this
More informationPharmacy Management Drug Policy
SUBJECT: POLICY NUMBER: PHARMACY-42 EFFECTIVE DATE: 6/2005 LAST REVIEW DATE: 4/19/2018 If the member s subscriber contract excludes coverage for a specific service or prescription drug, it is not covered
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Revatio) Reference Number: CP.PHAR.197 Effective Date: 03.16 Last Review Date: 02.19 Line of Business: Commercial, HIM*, Medicaid Revision Log See Important Reminder at the end of this
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Tracleer) Reference Number: CP.PHAR.191 Effective Date: 03.16 Last Review Date: 02.19 Line of Business: Commercial, HIM, Medicaid Revision Log See Important Reminder at the end of this
More informationPrior Authorization Required Type of Review Care Management Not Covered Type of Review Clinical Review
Pharmacy Medical Necessity Guidelines: Effective: July 11, 2017 Prior Authorization Required Type of Review Care Management Not Covered Type of Review Clinical Review Pharmacy (RX) or Medical (MED) Benefit
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Adcirca) Reference Number: CP.PHAR.198 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, Health Insurance Marketplace, Medicaid Revision Log See Important Reminder
More informationPharmacy Management Drug Policy
SUBJECT: Pulmonary Arterial Hypertension (PAH) POLICY NUMBER: Pharmacy-42 Clinical criteria used to make utilization review decisions are based on credible scientific evidence published in peer reviewed
More informationClinical Policy: Bosentan (Tracleer) Reference Number: CP.PHAR.191
Clinical Policy: (Tracleer) Reference Number: CP.PHAR.191 Effective Date: 03/16 Last Review Date: 03/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationClinical Policy: Treprostinil (Orenitram, Remodulin, Tyvasco) Reference Number: CP.PHAR.199
Clinical Policy: (Orenitram, Remodulin, Tyvasco) Reference Number: CP.PHAR.199 Effective Date: 03/16 Last Review Date: 03/17 See Important Reminder at the end of this policy for important regulatory and
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Opsumit) Reference Number: CP.CPA.107 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Medicaid Medi-Cal Revision Log See Important Reminder at the end of this policy
More informationClinical Policy: Ambrisentan (Letairis) Reference Number: CP.PHAR.190
Clinical Policy: (Letairis) Reference Number: CP.PHAR.190 Effective Date: 03/16 Last Review Date: 03/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationCoding Implications Revision Log. See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Ventavis) Reference Number: CP.PHAR.193 Effective Date: 03.16 Last Review Date: 02.18 Line of Business: Commercial, Health Insurance Marketplace, Medicaid Coding Implications Revision
More informationPharmacy Management Drug Policy
SUBJECT: POLICY NUMBER: PHARMACY-42 EFFECTIVE DATE: 6/2005 LAST REVIEW DATE: 10/1/2018 If the member s subscriber contract excludes coverage for a specific service or prescription drug, it is not covered
More informationTherapeutic Categories Outlook
Equity Research Health Care Therapeutic Categories Outlook Comprehensive Study February 2017 Alzheimer s Disease Bone Diseases Cardiovascular Central Nervous System Dermatology Diabetes/Obesity Epilepsy
More informationADVANCED THERAPIES FOR PHARMACOLOGICAL TREATMENT OF PULMONARY HYPERTENSION
Status Active Medical and Behavioral Health Policy Section: Medicine Policy Number: II-107 Effective Date: 04/21/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members
More informationInjectable Agents for the Treatment of Pulmonary Arterial Hypertension (PAH)
Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Injectable Agents for the Treatment of Pulmonary Arterial Hypertension (PAH) Clinical Edit Information Included in this Document
More informationClinical Policy: Tadalafil (Adcirca) Reference Number: CP.PHAR.198
Clinical Policy: (Adcirca) Reference Number: CP.PHAR.198 Effective Date: 03/16 Last Review Date: 03/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Tadalafil (Adcirca), Sildenafil citrate (Revatio) Reference Number: CP.CPA.72 Effective Date: 11.16.16 Last Review Date: 08.17 Line of Business: Medicaid Medi-Cal Revision Log See Important
More informationDrug Class Update: Pulmonary Hypertension
Copyright 2012 Oregon State University. All Rights Reserved Drug Use Research & Management Program Oregon State University, 500 Summer Street NE, E35 Salem, Oregon 97301-1079 Phone 503-947-5220 Fax 503-947-2596
More informationAnjali Vaidya, MD, FACC, FASE, FACP Associate Director, Pulmonary Hypertension, Right Heart Failure, Pulmonary Thromboendarterectomy Program Advanced
Anjali Vaidya, MD, FACC, FASE, FACP Associate Director, Pulmonary Hypertension, Right Heart Failure, Pulmonary Thromboendarterectomy Program Advanced Heart Failure & Cardiac Transplant Temple University
More informationPharmacy Coverage Guidelines are subject to change as new information becomes available.
SILDENAFIL oral tablet Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy Coverage Guideline
More informationTREPROSTINIL Generic Brand HICL GCN Exception/Other TREPROSTINIL REMODULIN 23650
Generic Brand HICL GCN Exception/Other TREPROSTINIL REMODULIN 23650 SODIUM TREPROSTINIL TYVASO 36537 36539 36541 TREPROSTINIL ORENITRAM 40827 **Please use the criteria for the specific drug requested**
More informationUpdate on the Management of Pulmonary Hypertension
Update on the Management of Pulmonary Hypertension Weston Bush, PharmD, BCPS Clinical Pharmacy Specialist, SICU University Hospitals Case Medical Center Disclosures None Treatment (Conventional/Supportive)
More informationUpdates in Pulmonary Hypertension Pharmacotherapy. Ziad Sadik PharmD BCPS
Updates in Pulmonary Hypertension Pharmacotherapy Ziad Sadik PharmD BCPS Disclosure Information I have no financial relationship to disclose AND I will not discuss off label use and/or investigational
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (3)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.40.15 Subject: Flolan Veletri Page: 1 of 5 Last Review Date: September 15, 2017 Flolan Veletri Description
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (2)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.40.10 Subject: Uptravi Page: 1 of 6 Last Review Date: September 15, 2017 Uptravi Description Uptravi
More informationPhosphodiesterase Type 5 Inhibitors: ADCIRCA (tadalafil) oral tablet REVATIO (sildenafil) oral suspension and tablet
REVATIO (sildenafil) oral suspension and tablet Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This
More informationReferral Forms for TYVASO and REMODULIN
Referral Forms for TYVASO and REMODULIN HOW TO GET STARTED Tyvaso and Remodulin are available only through select Specialty Pharmacy Services (SPS) providers. Follow these 5 simple steps to complete each
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (2)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.40.13 Section: Prescription Drugs Effective Date: July 1 2016 Subject: Tyvaso Page: 1 of 4 Last Review
More information22nd Annual Heart Failure 2018 an Update on Therapy. Pulmonary Arterial Hypertension: Contemporary Approach to Treatment
22nd Annual Heart Failure 2018 an Update on Therapy Pulmonary Arterial Hypertension: Contemporary Approach to Treatment Ronald J. Oudiz, MD, FACP, FACC, FCCP Professor of Medicine The David Geffen School
More informationPulmonary Arterial Hypertension (PAH) Treatments
Care1st Health Plan Arizona, Inc. Easy Choice Health Plan Harmony Health Plan of Illinois Missouri Care Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona OneCare (Care1st Health
More informationTeaching Round Claudio Sartori
Teaching Round 14.03.2017 Claudio Sartori Cas clinique Femme 47 ans, connue pour un BPCO, asthénie, douleurs thoraciques, dyspnée à l effort, œdèmes membres inférieurs, deux syncopes. Tabac, BMI 31 kg/m2
More informationTherapeutic approaches in P(A)H and the new ESC Guidelines
Therapeutic approaches in P(A)H and the new ESC Guidelines Jean-Luc Vachiéry, FESC Head Pulmonary Vascular Diseases and Heart Failure Clinic Hôpital Universitaire Erasme Université Libre de Bruxelles Belgium
More informationUpdate in Systemic Sclerosis! Lauren Kim MD! NW Rheumatology Associates
Update in Systemic Sclerosis! Lauren Kim MD! NW Rheumatology Associates Review Systemic sclerosis affects approximately 75,000 to 100,000 people in the U.S. and has the highest mortality rate of any autoimmune
More informationPulmonary Arterial Hypertension (PAH): Emerging Therapeutic Strategies
Pulmonary Arterial Hypertension (PAH): Emerging Therapeutic Strategies Nick H. Kim, M.D. Clinical Professor of Medicine Director, Pulmonary Vascular Medicine Clinical Service Chief, PCCSM La Jolla Pulmonary,
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (2)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.40.21 Subject: Orenitram Page: 1 of 6 Last Review Date: June 24, 2016 Orenitram Description Orenitram
More informationPaediatric Pulmonary Arterial Hypertension (PAH)
Paediatric Pulmonary Arterial Hypertension (PAH) Regulators perspective on a Global challenge EMA FDA HC paediatric PAH workshop 12 th June 2017 Cécile Ollivier European Medicines Agency Science and Innovation
More information4/18/2018 DISCLOSURE (AND DISCLAIMER)
DISCLOSURE (AND DISCLAIMER) PEDIATRIC PULMONARY HYPERTENSION PHARMACOTHERAPY 11th International Conference Neonatal & Childhood Pulmonary Vascular Disease April 19, 2018 I have no conflicts of interests
More informationTreatment of Paediatric Pulmonary Hypertension
Treatment of Paediatric Pulmonary Hypertension Dunbar Ivy, MD The Children s Hospital Heart Institute University of Colorado School of Medicine 1 Disclosures I have the following financial relationships
More informationPULMONARY HYPERTENSION RESPIRATORY & CRITICAL CARE CONFERENCE APRIL 21, 2016 LAURA G. HOOPER
PULMONARY HYPERTENSION RESPIRATORY & CRITICAL CARE CONFERENCE APRIL 21, 2016 LAURA G. HOOPER OUTLINE Brief review of WHO Group Classification Scheme Subgroups we ll focus on: WHO Group I Pulmonary Arterial
More informationPulmonary Arterial Hypertension: The Approach to Management in 2019
Pulmonary Arterial Hypertension: The Approach to Management in 2019 Munir S. Janmohamed M.D. FACC Medical Director Mechanical Circulatory Support/Heart Failure Program Mercy General Hospital/Mercy Medical
More informationAdvanced Therapies for Pharmacological Treatment of Pulmonary Arterial Hypertension
Advanced Therapies for Pharmacological Treatment of Pulmonary Arterial Hypertension Policy Number: 5.01.09 Last Review: 01/2018 Origination: 6/2013 Next Review: 02/2019 Policy Blue Cross and Blue Shield
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (2)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.40.23 Subject: Sildenafil Citrate Powder Page: 1 of 6 Last Review Date: September 15, 2017 Sildenafil
More informationApproach to Pulmonary Hypertension in the Hospital
Approach to Pulmonary Hypertension in the Hospital Todd M Bull MD Professor of Medicine Director Pulmonary Vascular Disease Center Director Center for Lungs and Breathing Division of Pulmonary Sciences
More informationPulmonary Hypertension Drugs
Pulmonary Hypertension Drugs Policy Number: Original Effective Date: MM.04.028 10/01/2009 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 05/22/2015 Section: Prescription Drugs
More informationClass Update with New Drug Evaluation: Drugs for Pulmonary Arterial Hypertension
Copyright 2012 Oregon State University. All Rights Reserved Drug Use Research & Management Program Oregon State University, 500 Summer Street NE, E35 Salem, Oregon 97301-1079 Phone 503-947-5220 Fax 503-947-1119
More informationObjectives. Disclosure. Objectives. Treatment of Pulmonary Hypertension 3/4/2016. Pharmacist Objectives: 3. Technician Objectives:
Objectives Treatment of Pulmonary Hypertension Janet Job PGY-1 Pharmacy Practice Resident Memorial Regional Hospital March 12, 2016 Pharmacist Objectives: Identify the pathophysiology, clinical presentation,
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (2)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.40.17 Subject: Remodulin Page: 1 of 5 Last Review Date: June 24, 2016 Remodulin Description Remodulin
More information2016 PHARMACOLOGY UPDATE: PULMONARY ARTERIAL HYPERTENSION
2016 PHARMACOLOGY UPDATE: PULMONARY ARTERIAL HYPERTENSION Maureen A Seckel APRN, ACNS-BC, CCNS, CCRN, FCCM CNS Medical Pulmonary Critical Care Sepsis Leader CCHS PAH Team Member WHAT IS PAH? Pulmonary
More informationReal-world experience with riociguat in CTEPH
Real-world experience with riociguat in CTEPH Matthias Held Center of Pulmonary Hypertension and Pulmonary Vascular Disease, Medical Mission Hospital, Würzburg, Germany Tuesday, 29 September ERS International
More informationPulmonary arterial hypertension (PAH) is a rare,
n REPORT n Pulmonary Arterial Hypertension: Progress and Challenges in the Modern Treatment Era Stacy A. Mandras, MD; Robert J. Gilkin, Jr, RPh, MBA; Janis A. Pruett, EdD, RN, MSN, CDE, FNP-BC; and Susan
More informationAdvanced Therapies for Pharmacological Treatment of Pulmonary Hypertension
Advanced Therapies for Pharmacological Treatment of Pulmonary Hypertension Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana,
More informationCombination Therapy in Pulmonary Arterial Hypertension: Is This the New Standard of Care?
n REPORT n Combination Therapy in Pulmonary Arterial Hypertension: Is This the New Standard of Care? George Ruiz, MD, MBA; Gary M. Besinque, PharmD; Cassandra A. Lickert, MD; and Susan Raspa, RN, BSN Introduction
More informationAdvanced Therapies for Pharmacological Treatment of Pulmonary Arterial Hypertension
MEDICAL POLICY 5.01.522 Advanced Therapies for Pharmacological Treatment of Pulmonary Arterial Hypertension BCBSA Ref. Policy: 5.01.09* Effective Date: Dec. 1, 2017 Last Revised: Nov. 21, 2017 Replaces:
More informationPatient Case. Patient Case 6/1/2013. Treatment of Pulmonary Hypertension in a Community
Treatment of Pulmonary Hypertension in a Community Hospital Serena Von Ruden, PharmD, RN, BSN St. Francis Hospital Federal Way, WA Franciscan Health System HPI: 66 year old male with advanced oxygendependent
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (2)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.40.16 Subject: Letairis Page: 1 of 6 Last Review Date: June 24, 2016 Letairis Description Letairis (ambrisentan)
More informationAdvances in Pharmacotherapy of PAH
24 th Annual Advances in Heart Disease Advances in Pharmacotherapy of PAH Gabriel Gregoratos, MD 12/14/2007 UCSF Cardiology 1 Faculty Disclosure Statement for Gabriel Gregoratos, MD Nothing to disclose
More informationThe Effect of Current Managed Care Trends on Patient Access in 3 Specialty Classes MS, Hepatitis C & Pulmonary Arterial Hypertension
The Effect of Current Managed Care Trends on Patient Access in 3 Specialty Classes MS, Hepatitis C & Pulmonary Arterial Hypertension DISCLAIMER The information within this CME/CE activity is for continuing
More informationThe World Health Organization (WHO) has classified pulmonary hypertension into five different groups: (2)
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 Subject: Tracleer Page: 1 of 6 Last Review Date: September 15, 2017 Tracleer Description Tracleer (bosentan)
More informationPulmonary Hypertension A-Z
Pulmonary Hypertension A-Z Lana Melendres-Groves UNM Pulmonary Hypertension Program Director Assistant Professor of Medicine Pulmonary/Critical Care Division 9/17/16 Disclosures Advisory board member Actelion
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Health Technology Appraisal. Drugs for the treatment of pulmonary arterial hypertension
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Health Technology Appraisal Drugs for the treatment of Draft remit / appraisal objective: Draft scope To appraise the clinical and cost effectiveness
More informationINHALED TREPROSTINIL IN PULMONARY HYPERTENSION DUE TO INTERSTITIAL LUNG DISEASE (PH-ILD)
THE INCREASE STUDY INHALED TREPROSTINIL IN PULMONARY HYPERTENSION DUE TO INTERSTITIAL LUNG DISEASE (PH-ILD) Peter Smith, PharmD Senior Director Product Development, United Therapeutics Corporation 2 SAFE
More informationPharmacologic Therapy for Pulmonary Arterial Hypertension in Adults CHEST Guideline and Expert Panel Report
[ Evidence-Based Medicine ] Pharmacologic Therapy for Pulmonary Arterial Hypertension in Adults CHEST Guideline and Expert Panel Report Darren B. Taichman, MD, PhD, FCCP ; Joe Ornelas, MS ; Lorinda Chung,
More informationTwo decades have passed since the approval
n REPORT n The Evolution of Prostacyclins in Pulmonary Arterial Hypertension: From Classical Treatment to Modern Management Charles D. Burger, MD, FCCP; Lesley D Albini, PharmD, BCPS; Susan Raspa, RN,
More informationNational Horizon Scanning Centre. Oral and inhaled treprostinil for pulmonary arterial hypertension: NYHA class III. April 2008
Oral and inhaled treprostinil for pulmonary arterial hypertension: NYHA class April 2008 This technology summary is based on information available at the time of research and a limited literature search.
More informationCDEC FINAL RECOMMENDATION
CDEC FINAL RECOMMENDATION Macitentan (Opsumit Actelion Pharmaceuticals Canada Inc.) Indication: Pulmonary Arterial Hypertension Recommendation: The Canadian Drug Expert Committee (CDEC) recommends that
More informationNational Horizon Scanning Centre. Tadalafil for pulmonary arterial hypertension. October 2007
Tadalafil for pulmonary arterial hypertension October 2007 This technology summary is based on information available at the time of research and a limited literature search. It is not intended to be a
More informationClinical Commissioning Policy: Selexipag for treating pulmonary arterial hypertension (all ages)
Clinical Commissioning Policy: Selexipag for treating pulmonary arterial hypertension (all ages) NHS England Reference: 170065P 1 NHS England INFORMATION READER BOX Directorate Medical Operations and Information
More information