Orphan Drug List. Drug Name Dosage Form Route of Admin ATC Code Description List Name. Amyl Nitrite INHALER INHALATION V۰۳AB
|
|
- Cameron Long
- 5 years ago
- Views:
Transcription
1 Orphan Drug List - Drug Name Dosage Form Route of Admin ATC Code Description List Name Alprostadil ۲۰ mcg INJECTION, POWDER PARENTERAL CEA Alprostadil ۲۰ mcg INJECTION, SOLUTION PARENTERAL CEA Alteplase ۱۰ INJECTION, POWDER PARENTERAL BAD Alteplase ۲۰ INJECTION, POWDER PARENTERAL BAD Alteplase ۵۰ INJECTION, POWDER PARENTERAL BAD Amyl Nitrite INHALER INHALATION VAB ۲۲ Anagrelide HCl ۵۰۰ Capsule Oral LXX ۳۵ Artisunate ۲۰۰ INJECTION PARENTERAL PBE Artisunate ۶۰ /, ۱ INJECTION PARENTERAL P BE - Prostaglandin E ۱ Treatment of severe peripheral arterial occlusive disease (critical limb ischemia) in patients where other procedures, grafts or angioplasty, are not indicated. Prostaglandin E ۱ Treatment of severe peripheral arterial occlusive disease (critical limb ischemia) in patients where other procedures, grafts or angioplasty, are not indicated. Treatment of cyanide poisoning در اختيار معاونت سالمت قرار گيرد در اختيار معاونت سالمت قرار گيرد در اختيار معاونت سالمت قرار گيرد Bevacizumab ۲۵ /, ۱۶ PARENTERAL LXC Bevacizumab ۲۵ /, ۴ Bortezomib ۳.۵ PARENTERAL LXC PARENTERAL LXX ۳۲ **(As Manitol baronic ester)** برای مصرف در بيمارستانھای دارای مراکز تخصصی درمان سرطلن در بيمارستانھای دارای مراکز تخصصی درمان سرطان
2 Cladribine ۱/, ۱۰ INJECTION, SOLUTION IV INFUSION LBB Cladribine ۲/, ۵ INJECTION, SOLUTION IV INFUSION LBB Clofazimine ۱۰۰ CAPSULE ORAL JBA Clofazimine ۵۰ CAPSULE ORAL JBA Daclizumab ۵/, ۵ PARENTERAL LAA LAC Dantrolene Sodium ۲۰ PARENTERAL MCA Dantrolene Sodium ۲۰ CAPSULE ORAL MCA Treatment of acute myeloid leukemia. Treatment of the chronic progressive form of MS Treatment of non-hodgkin's lymphoma. Treatment of acute myeloid leukemia. Treatment of the chronic progressive form of MS Treatment of non-hodgkin's lymphoma. Treatment of lepromatous leprosy, including dapsone-resistant lepromatous leprosy and lepromatous leprosy complicated by erythema nodosum leprosum. Treatment of lepromatous leprosy, including dapsone-resistant lepromatous leprosy and lepromatous leprosy complicated by erythema nodosum leprosum. Prevention of acute renal allograft rejection. Treatment of the neuroleptic malignant syndrome. Treatment of the neuroleptic malignant syndrome. Dapsone ۱۰۰ TABLET ORAL JBA For the combination treatment of Pneumocystis carinii pneumonia in conjunction with trimethoprim. Dapsone ۵۰ TABLET ORAL JBA Digoxin Speci ic Antibody ۴۰ INJECTION PARENTERAL VAB VAB Dimethyl Sulfoxide ۵۰ SOLUTION PARENTERAL GBX ۱۳ Factor XIII Powder for INJECTION PARENTERAL BBD Fibrinogen ۱g INJECTION, POWDER PARENTERAL BBB Fomepizole ۱g/, ۱.۵ INJECTION PARENTERAL VAB ۳۴ Idarubicin Hydrochloride Idarubicin Hydrochloride ۵ ۱۰ PARENTERAL LDB PARENTERAL LDB For the combination treatment of Pneumocystis carinii pneumonia in conjunction with trimethoprim. Special available for Poisoning Center Treatment of potentially life threatening digitalis intoxication in patients who are refractory to management by conventional therapy. Treatment of life-threatening acute cardiac glycoside intoxication manifested by conduction disorders, ectopic ventricular activity and (in some cases) hyperkalemia. Treatment of cutaneous manifestations of scleroderma. Treatment of palmar-plantar erythrodysethesia syndrome. Human Fibrin-stabilising Factor نداردINN For the control of bleeding and prophylactic treatment of patients deficient in fibrinogen. Treatment of methanol or ethylene glycol poisoning. Treatment of acute lymphoblastic leukemia in pediatric patients. Treatment of acute myelogenous leukemia, also referred to as acute nonlymphocytic leukemia. Treatment of acute lymphoblastic leukemia in pediatric patients. Treatment of acute myelogenous leukemia, also referred to as acute nonlymphocytic leukemia.
3 Imiglucerase ۲۰۰ U INJECTION, POWDER PARENTERAL A۱۶AB Imiglucerase ۴۰۰ U INJECTION, POWDER PARENTERAL A۱۶AB Indocyanine Green ۲۵ INJECTION, POWDER PARENTERAL V CX In liximab ۱۰۰ INJECTION, POWDER PARENTERAL LAB Laronidase ۲.۹ / INJECTION PARENTERAL ۱۶ ۰۵ Mercaptamine ۱۵۰ CAPSULE ORAL A۱۶AA Mercaptamine ۱۵۰ POWDER ORAL A۱۶AA Midodrine Hydrochloride ۲. ۵ Midodrine Hydrochloride B ۵۱۵ TABLET ORAL CCA ۱۷ TABLET ORAL CCA ۱۷ Nitisinone ۱۰ CAPSULE ORAL A۱۶AX Nitisinone ۱۰ TABLET ORAL A۱۶AX Nitisinone ۲ CAPSULE ORAL A۱۶AX Nitisinone ۲ TABLET ORAL A۱۶AX Nitisinone ۵ CAPSULE ORAL A۱۶AX Nitisinone ۵ TABLET ORAL A۱۶AX Para-aminosalicylic Acid ۴g GRANULE ORAL JAA Pegaspargase ۳۷۵۰ IU INJECTION, POWDER PARENTERAL LXX Pegaspargase ۷۵۰ IU/, ۵ INJECTION, SOLUTION PARENTERAL LXX Pilocarpine Nitrate ۴ DROPS, SOLUTION OPHTHALMIC SEB Praziquantel ۶۰۰ TABLET ORAL PBA Rifampicin ۶۰۰ INJECTION, POWDER PARENTERAL JAB Sapropterin Hydrochloride ۵۰ TABLET ORAL A۱۶AX Replacement therapy in patients with types I, II, and III Gaucher's disease. Replacement therapy in patients with types I, II, and III Gaucher's disease. نداردINN Treatment of moderately to severely active Crohn's disease for the reduction of the signs and symptoms, in patients who have an inadequate response to conventional therapy; and treatment of patients with fistulizing Crohn's disease. Treatment of chronic sarcoidosis Treatment of giant cell arteritis فھرست داروھای متابوليک برای بيماران مبتال به موکوپلی ساکاريدوز - فھرست داروھای متابوليک A AB Phosphocysteamine Treatment of cystinosis. Phosphocysteamine Treatment of cystinosis. جھت مصرف در بيمارستانھای تخصصی قلب جھت مصرف در بيمارستانھای تخصصی قلب جھت مصرف در بيمارستانھای تخصصی قلب جھت مصرف در بيمارستانھای تخصصی قلب INN ندارد Treatment of tuberculosis infections L-ASPARGINASE L-ASPARGINASE Acute lymphocytic leukemia Treatment of xerostomia induced by radiation therapy for head and neck cancer-as Base Treatment of xerostomia and keratoconjunctivitis sicca in Sjogren's syndrome patients. Treatment of neurocysticercosis. For antituberculosis treatment where use of the ORAL form of the drug is not feasible. برای بيماران مبتال به فنيل کتونوريا (Phenylketonuria) In patients responsive to tetrahydrobiopterin As Hydrochloride
4 Serine ۶۰۰ برای بيماران مبتال به کمبود سرين deficiency) CAPSULE ORAL - (Serine Sodium Benzoate/Sodium Phenylacetate ۱۰ / ۱۰ Sodium Benzoate/Sodium Phenylacetate ۱۰ / ۱۰ Sodium Nitrite ۳۰ /, ۱۰ INJECTION PARENTERAL - SOLUTION ORAL - INJECTION, SOLUTION PARENTERAL VAB Sodium Nitroprusside ۵۰ INJECTION, POWDER PARENTERAL CDD Sodium Phenylbutyrate ۲۰۰ /, ۱۰ Sodium Phenylbutyrate Sodium Thiosulfate ۲۵۰ /, ۵۰ ۵۰۰ INJECTION, SOLUTION PARENTERAL A۱۶AX TABLET ORAL A۱۶AX INJECTION, SOLUTION PARENTERAL VAB Somatostatin ۰.۲۵ INJECTION, POWDER PARENTERAL HCB Sorafenib tosilate ۲۰۰ TABLET ORAL LXE ۰۵ Succimer ۱۰۰ CAPSULE ORAL Succimer ۲۰۰ CAPSULE ORAL Sulfadiazine Silver/Epidermal Growth Factor ۱ / ۰.۹۲ Technetium [ ۹۹mTc] Human Immunoglobulin G ( ۱۵-۲۵ ۲۵) mci V AB V AB CREAM TOPICAL DBA ۵۱ INTRAVENOUS BOLUS V۰۹HA Teniposide ۱۰ /, ۵ INJECTION, SOLUTION PARENTERAL LCB Testosterone Undecylate ۴۰ CAPSULE ORAL GBA Thalidomide ۱۰۰ CAPSULE ORAL LAX Thalidomide ۱۰۰ TABLET ORAL LAX Thyrotropin Alfa ۱.۱ PARENTERAL VCJ INN ندارد (Grade III and برای بيماران مبتال به ھيپرآمونميا encephalopathy) VI hepatic (Hyperammonemia). INN ندارد برای بيماران مبتال به ھيپرآمونميا. INN ندارد Treatment of cyanide poisoning INN ندارد Nitroprusside Sodium Treatment and prevention of cerebral vasospasm following subarachnoid. INN ندارد Sodium phenylbutyrate: Adjunctive to surgery, radiation therapy, and برای chemotherapy for primary or recurrent malignant gliome ( Hyperammonemia )بيماران مبتال به ھيپرآمونميا INN ندارد Sodium phenylbutyrate: Adjunctive to surgery, radiation therapy, and برای chemotherapy for primary or recurrent malignant gliome ( Hyperammonemia )بيماران مبتال به ھيپرآمونميا ندارد Sodium Hyposulfite INN As Thiosulfate Treatment of cyanide poisoning-as PENTAHYDRATE Treatment of bleeding esophageal varices. **(As Tosilate)** برای مصرف در بيمارستانھای دارای مراکز تخصصی درمان سرطان Treatment of lead poisoning in children. Treatment of lead poisoning in children. EGF) Silver نام INNندارد ( Sulfadiazine ۱ + Epidermal Growth Factor ۰.۹۲ For promotion of cutaneous wound healing in extreme burn treatment protocols. ندارد INN Treatment of refractory childhood acute lymphocytic leukemia. Testosterone Undecanoate As Base Treatment of weight loss in AIDS patients with HIV-associated wasting. برای مصرف در بيمارستانھای دارای مراکز تخصصی درمان سرطلن فھرست راديو داروھا فھرست داروھاي با دسترسي خاص برای بيماران مبتال به مولتيپل ميلوما برای بيماران مبتال به مولتيپل ميلوما در بيمارستانھای دارای مراکز تخصصی تشخيص سرطان
5 Thyrotropin Alfa ۹۰۰ mcg Tobramycin ۳۰۰ / ۴ NEBULISATION RESPIRATORY JGB Tobramycin ۳۰۰ / ۵ NEBULISATION RESPIRATORY JGB Trypan Blue ۰.۱ INJECTION INTRAOCULAR Uridine ۱ TABLET ORAL PARENTERAL VCJ در بيمارستانھای دارای مراکز تخصصی تشخيص سرطان S JA Varicella-Zoster Vaccine INJECTION PARENTERAL JBK Vertepor in ۱۵ INJECTION, POWDER PARENTERAL SLA Zidovudine ۱۰۰ CAPSULE ORAL J۰۵AF Zidovudine ۳۰۰ CAPSULE ORAL J۰۵AF Zidovudine ۳۰۰ TABLET ORAL J۰۵AF Zidovudine ۵۰ / ۵ SYRUP ORAL J۰۵AF Trientine Dihydrochloride ۳۰۰ CAPSULE ORAL Alglucosidase Alfa ۵۰ INJECTION, POWDER PARENTERAL A۱۶AB Ibuprofen ۵/, ۲ INJECTION INTRAVENOUS CEB ۱۶ Ibuprofen ۱۰ / INJECTION, SOLUTION INTRAVENOUS DRIP B۰۵BA Galsulfase ۱/ INJECTION PARENTERAL A۱۶AB Bronchiectasis patients injected with pseadornonas aerugi- nosa Bronchiectasis patients injected with pseadornonas aerugi- nosa INN ندارد Selectively staining epiretinal membranes during ophthalmic surgical victrectomy procedures INN ندارد Cystic fibrosis, facilitate removal of lung secvetions in primary ciliary dyskinesia برای بيماران مبتال به Aciduria) (Orotic اسيدوری يوروتيک INN ندارد Passive immunization for the treatment of exposed, susceptible individuals who are at risk of complications from varicella Antineovascularization Treatment of Wilson Disease in patients intolerance of penicillamine - داروھای متابوليک جھت ١٤ بيمار ثبت می گردد. فھرست داروھاي با دسترسي خاص در مراکز دارای فوق تخصص نوزادان و فوق تخصص قلب کودکان و مجھز به دستگاه اکوکارديوگرافی جھت تشخيص (PDA(Patent ductus arterious **(as Lysine)** فھرست داروھاي با دسترسي خاص. در داروخانه بيمارستاني توزيع ميشود - برای ٣٥ بيمار ثبت می گردد.
Rayos Prior Authorization Program Summary
Rayos Prior Authorization Program Summary FDA APPROVED INDICATIONS AND DOSAGE FDA-Approved Indications: 1 Agent Indication Dosage Rayos (prednisone delayedrelease tablet) as an anti-inflammatory or immunosuppressive
More informationNew Mexico Health Connections Drug Safety Updates. Drug Safety Updates Q Route of Administration. Action. Brand Name Generic Name Indications
Q4 2017 Advair Diskus salmeterol Asthma, COPD inhaler Advair HFA salmeterol Asthma inhaler Airduo Respiclick salmeterol Asthma inhaler Alecensa alectinib Non-Small Cell Lung Cancer Genentech announced
More informationManufacturing and Marketing permission issued from SND Division from to
Manufacturing and Marketing permission issued from SND Division from 01.01.2018 to 31.05.2018. S.No Drug Name Composition Indication Date of Approval As a component of multi agent Pegaspargase Each vial
More informationImmunodeficiencies HIV/AIDS
Immunodeficiencies HIV/AIDS Immunodeficiencies Due to impaired function of one or more components of the immune or inflammatory responses. Problem may be with: B cells T cells phagocytes or complement
More informationATC/DDD Classification
(Temporary) The following anatomical therapeutic codes (ATC), defined daily doses (DDD) and alterations were considered by the WHO International Working Group for Drug Statistics Methodology at its meeting
More informationManufacturing and Marketing permission issued from SND Division from to
Manufacturing and Marketing permission issued from SND Division from 01.01.2017 to 17.07.2017. S.No. Drug Name Indication Date of Approval 1 Sofosbuvir 400 film coated Tablet In combination with other
More informationClinical Trial List
Clinical Trial List 2005 2008 Service Driven. Quality Focused. Global Perspective. Clinical Trial List 2005-2008 1 Pharmacokinetic A Two-Period, Single Dose Pharmacokinetic Study of Three Sustained-Release
More informationΟΡΦΑΝΑ ΦΑΡΜΑΚΑ (κατά FDA) ΠΟΥ ΕΙΣΑΓΟΝΤΑΙ ΑΠΟ ΤΟ ΙΦΕΤ
ΟΡΦΑΝΑ ΦΑΡΜΑΚΑ (κατά FDA) ΠΟΥ ΕΙΣΑΓΟΝΤΑΙ ΑΠΟ ΤΟ ΙΦΕΤ FDA APPROVAL [ταξινόμηση κατά δραστική ουσία (generic name)] Generic Name Trade Name Orphan Designation: Approved Orphan Indication: SPONSOR ΔΙΑΘΕΣΗ
More information١ !" # +& )* $ ) # ' & "( %&. ) #, )+ " & $ # $,# 10 (SARS) )% *% % '. &' ( % $ # ". # * +,.( ' )% *% % ' / 4 % /$ %& (. )% *% % %. MERS % SARS).. 1391 2 1391. ۴ ۵ SARS . 10 ۶ ٧ ٢۴ ٢۴ September September
More informationManufacturing and Marketing permission issued from SND Division from to
Manufacturing and Marketing permission issued from SND Division from 01.01.2018 to 04.07.2018. S.No Drug Name Composition Indication Date of Approval As a component of multi agent Pegaspargase Each vial
More informationUses Location(s) Par Levels a Location(s) Par Levels. Min: 18 Max: 36. Min: 22 Max: 33. Talyst (Refrig) Talyst (Refrig) Min: 2 b Talyst (Refrig)
U N C M E D I C A L C E N T E R G U I D E Antidotes Used in Poisonings and Ingestions The purpose of this guide is to describe the locations and quantities of antidotes to be maintained at UNC Medical
More informationOTC DRUGS' LIST. No Drug Name Dosage Form Route of Admin ATC Code Description Date
فهرست داروهاي OTC OTC DRUGS' LIST تاريخ توضيحات دسته دارو راه مصرف شكل دارويي نام دارو رديف No Drug Name Dosage Form Route of Admin ATC Code Description Date ١ ٢ ٣ ۴ ۵ ۶ ٧ ٨ ٩ ١٠ ١١ ١٢ ١٣ ١۴ A.C.A* TABLET
More informationPOISON ANTIDOTE DOSE* COMMENTS
Antidotes Acetaminophen N-acetylcysteine 140 mg/kg initial oral dose, followed Most effective within 16 24 hr; may by 70 mg/kg every 4 hr 17 doses be useful after chronic intoxication or intravenously
More informationUpdate in Poison Management. Update in Poison Management. Antidote Use. Fomepizole. Pediatric Ingestions 1. No financial disclosures
Update in Poison Management No financial disclosures Robert J. Hoffman, MD,MS FACMT, FACEP, FAAEM, FAAP Department of Emergency Medicine Albert Einstein College of Medicine New York, New York Update in
More informationArea Drug and Therapeutics Committee Prescribing Supplement No 30 April 2009
Area Drug and Therapeutics Committee Prescribing Supplement No 30 In this issue Drugs currently being considered by SMC advice due on 11 May 2009 Drug Safety Update (MHRA) New updated wound management
More informationATC/DDD classification
The Anatomical Therapeutic Chemical (ATC) classification system and the Defined Daily Dose (DDD) as a measuring unit are tools for exchanging and comparing data on drug use at international, national or
More informationChapter 5 ~ Infections
Chapter 5 ~ Infections: Special Section 1 of 6 Chapter 5 ~ Infections Please refer to The Hillingdon Hospitals NHS Trust Antibiotic Guidelines, Policy number 233, and Surgical Prophylaxis Policy, Policy
More informationMYELODYSPLASTIC AND MYELOPROLIFERATIVE
MYELODYSPLASTIC AND MYELOPROLIFERATIVE DISORDERS Pediatric Hemato-Oncology Division Medical Faculty University of Sumatera Utara 1 MYELODYSPLASIA SYNDROME A group of disorder defect in hematopoetic cell
More informationRemicade (infliximab) DRUG.00002
Applicability/Effective Date *- Florida Healthy Kids Remicade (infliximab) DRUG.00002 Override(s) Prior Authorization Step Therapy Medications Remicade (infliximab) Approval Duration 1 year Comment Intravenous
More informationThe Italian AIDS Epidemic Supports The Chemical AIDS Theory. Daniele Mandrioli
The Italian AIDS Epidemic Supports The Chemical AIDS Theory Daniele Mandrioli EPIDEMIOLOGY France Population: 65.073.482 AIDS Incidence: 16/million Germany Population: 82.438.000 AIDS Incidence: 4/million
More informationRajasthan Medical Services Corporation Limited, Jaipur
Rajasthan Medical Services Corporation Limited, Jaipur List of Drugs- Purchase order placed to successful Bidders Tendered on 05/07/2011 S.No. Name of Drug 1 Atropine Sulphate Injection 0.6 mg /ml (SC/IM/IV
More informationATC/DDD classification
ATC/DDD classification The Anatomical Therapeutic Chemical (ATC) classification system and the Defined Daily Dose (DDD) as a measuring unit are tools for exchanging and comparing data on drug use at international,
More informationAETNA BETTER HEALTH Non-Formulary Prior Authorization guideline for Colony Stimulating Factor (CSF)
AETNA BETTER HEALTH Non-Formulary Prior Authorization guideline for Colony Stimulating Factor (CSF) Colony Stimulating Factor (CSF) Neupogen (filgrastim; G-CSF), Neulasta (peg-filgrastim; G-CSF); Neulasa
More informationPediatric Toxic Hypoglycemia. Sara Kazim, MD, FRCP (EM) Clinical Pharmacology and Medical Toxicology Fellowship IEMC May Antalya
Pediatric Toxic Hypoglycemia Sara Kazim, MD, FRCP (EM) Clinical Pharmacology and Medical Toxicology Fellowship IEMC May 2016 - Antalya Conflicts of Interests... None Learning Needs... By the end of this
More informationR-IDARAM. Dexamethasone is administered as an IV infusion in 100mL sodium chloride 0.9% over 30 minutes.
R-IDARAM Indication Secondary CNS lymphoma ICD-10 codes Codes with a prefix C85 Regimen details Day Drug Dose Route 1 Rituximab 375mg/m 2 IV infusion 1 Methotrexate 12.5mg Intrathecal 1 Cytarabine 70mg
More informationPrescribe appropriate immunizations for. Prescribe childhood immunization as per. Prescribe influenza vaccinations in high-risk
Supplemental Digital Appendix 1 46 Health Care Problems and the Corresponding 59 Practice Indicators Expected of All Physicians Entering or in Practice Infectious and parasitic diseases Avoidable complications/death
More informationImmunocompetence The immune system responds appropriately to a foreign stimulus
Functions of the immune system Protect the body s internal environment against invading organisms Maintain homeostasis by removing damaged cells from the circulation Serve as a surveillance network for
More informationChapter 4 Section 9.1
Surgery Chapter 4 Section 9.1 Issue Date: August 26, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) 1.0 CPT 1 PROCEDURE CODES 33010-33130, 33140, 33141, 33200-37186, 37195-37785, 92950-93272, 93303-93581,
More informationAnnual Flash Report (unaudited) Fiscal Year ended March 31, 2017
Annual Flash Report (unaudited) Fiscal Year ended March 31, 2017 Supplemental nation Status of Development Pipeline as of May 8, 2017. Main Status of Development Pipelines (Oncology) 1. Development Status
More informationInfliximab/Infliximab-dyyb DRUG.00002
Infliximab/Infliximab-dyyb DRUG.00002 Override(s) Prior Authorization Step Therapy Medications Remicade (infliximab) Inflectra (inflectra-dyyb) Approval Duration 1 year Comment Intravenous administration
More informationCircle Yes or Y N. [Note: requests without this information will not be accepted.] [If no, then no further questions.
10/01/2016 Prior Authorization Aetna Better Health of West Virginia COLO STIMULATIG FACTORS (WV88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information,
More informationNCCP Chemotherapy Regimen
INDICATIONS FOR USE: SUNitinib 50mg Therapy INDICATION ICD10 Regimen Code *Reimbursement Status Treatment of unresectable and/or metastatic malignant gastrointestinal C26 00325a CDS stromal tumour (GIST)
More informationImmunosuppressants. Assistant Prof. Dr. Najlaa Saadi PhD Pharmacology Faculty of Pharmacy University of Philadelphia
Immunosuppressants Assistant Prof. Dr. Najlaa Saadi PhD Pharmacology Faculty of Pharmacy University of Philadelphia Immunosuppressive Agents Very useful in minimizing the occurrence of exaggerated or inappropriate
More information1 17 ACITRETIN 10MG CAP 20, ,000 14,000 4, ACITRETIN 25MG CAP 50, ,000 35,000 10,000
ردیف کد ژنریک نام ژنریک مبلغ پوشش وزارت بهداشت مبلغ پوشش بیمه مبلغ پرداخت بیمار درصد پرداخت بیمار قیمت اعالمی وزارت بهداشت نام تجاری 1 17 ACITRETIN 10MG CAP 20,000 10.0 2,000 14,000 4,000 2 18 ACITRETIN
More informationJanuary 2018 Pharmacy & Therapeutics Committee Decisions
UCare s Pharmacy and Therapeutics Committee (P&T) is a group of physicians and pharmacists that meet throughout the year to make changes to the UCare formulary (approved drug list). These changes are reviewed
More informationNCCP Chemotherapy Regimen. Tretinoin (ATRA)/Idarubicin (PETHEMA AIDA) Induction Therapy
Tretinoin INDICATIONS FOR USE: Regimen Code 00366a *Reimbursement Indicator INDICATION ICD10 Treatment of patients with newly diagnosed Acute C92 Promyelocytic Leukaemia (APL) *If a reimbursement indicator
More informationUNC INFLAMMATORY BOWEL DISEASE DRUG PROTOCOL VEDOLIZUMAB (ENTYVIO)
UNC INFLAMMATORY BOWEL DISEASE DRUG PROTOCOL VEDOLIZUMAB (ENTYVIO) TREATMENT PROTOCOL: Vedolizumab is a humanized immunoglobulin G1 monoclonal antibody that targets 41 integrin and blocks its interaction
More informationNCCP Chemotherapy Regimen. DOXOrubicin, Cyclophosphamide (AC 60/600) 21 day followed by weekly PACLitaxel (80) and weekly Trastuzumab Therapy (AC-TH)
DOXOrubicin, Cyclophosphamide (AC 60/600) 21 day followed by weekly PACLitaxel (80) and weekly Trastuzumab Therapy (AC-TH) Note: There is an option for Dose Dense DOXOrubicin, cyclophosphamide PACLitaxel
More informationWhat is a hematological malignancy? Hematology and Hematologic Malignancies. Etiology of hematological malignancies. Leukemias
Hematology and Hematologic Malignancies Cancer of the formed elements of the blood What is a hematological malignancy? A hematologic malignancy is a malignancy (or cancer) of any of the formed elements
More informationViral Infections. 1. Prophylaxis management of patient exposed to Chickenpox:
This document covers: 1. Chickenpox post exposure prophylaxis 2. Chickenpox treatment in immunosuppressed/on treatment patients 3. Management of immunosuppressed exposed to Measles All children with suspected
More informationCardiff & Vale (C&V) UHB Corporate Medicines Management Group (c MMG) SHARED CARE. Drug: MYCOPHENOLATE MOFETIL/SODIUM Protocol number: CV 15
Cardiff & Vale (C&V) UHB Corporate Medicines Management Group (c MMG) SHARED CARE Drug: MYCOPHENOLATE MOFETIL/SODIUM Protocol number: CV 15 Indication: RENAL, PANCREAS OR COMBINED RENAL PANCREAS TRANSPLANTATION
More informationGazyva. Gazyva (obinutuzumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.29 Subject: Gazyva Page: 1 of 7 Last Review Date: September 15, 2016 Gazyva Description Gazyva (obinutuzumab)
More informationThe chemical name of acyclovir, USP is 2-amino-1,9-dihydro-9-[(2-hydroxyethoxy)methyl]-6Hpurin-6-one; it has the following structural formula:
Acyclovir Ointment, USP 5% DESCRIPTION Acyclovir, USP, is a synthetic nucleoside analogue active against herpes viruses. Acyclovir ointment, USP 5% is a formulation for topical administration. Each gram
More informationNCCP Chemotherapy Regimen. Tretinoin (ATRA)/IDArubicin (PETHEMA AIDA) Induction Therapy: High Risk
Tretinoin : High Risk INDICATIONS FOR USE: INDICATION ICD10 Regimen Code *Reimbursement Status Treatment of patients with newly diagnosed high risk Acute Promyelocytic Leukaemia (APL) C92 00366a Hospital
More informationOrphaNews Europe: How are orphan medicinal products categorised in Turkey?
Spotlight on...medicinal products for rare diseases in Turkey Interview In November 2008, Turkish pharmacist Pelin Kilic joined the team of Orphanet France in order to pursue her PhD studies in gene technology,
More informationAntimycobacterial drugs. Dr.Naza M.Ali lec Dec 2018
Antimycobacterial drugs Dr.Naza M.Ali lec 14-15 6 Dec 2018 About one-third of the world s population is infected with M. tuberculosis With 30 million people having active disease. Worldwide, 9 million
More informationNCCP Chemotherapy Regimen. Bevacizumab 5mg/kg and FOLFIRI Therapy 14 days
Bevacizumab 5mg/kg and FOLFIRI Therapy 14 days INDICATIONS FOR USE: Regimen Code 00449a INDICATION ICD10 Treatment of adult patients with metastatic carcinoma of the colon or C18 rectum. C19 C20 *If the
More informationDERBY-BURTON LOCAL CANCER NETWORK FILENAME R-IVE.DOC CONTROLLED DOC NO: HCCPG B53 CSIS Regimen Name: R-IVE. R-IVE Regimen
R-IVE Regimen Available for Routine Use in Burton in-patient Derby in-patient Burton day-case Derby day-case Burton community Derby community Burton out-patient Derby out-patient Indication Relapsed/ refractory
More information5-Fluorouracil, epirubicin 100 and Cyclophosphamide (FEC 100) Therapy
5-Fluorouracil, epirubicin 100 and Cyclophosphamide (FEC 100) Therapy INDICATIONS FOR USE: Regimen INDICATION ICD10 Code Neoadjuvant treatment for breast carcinoma C50 00265a Adjuvant treatment for breast
More informationTo provide guidance on prevention and control of illness caused by varicella-zoster virus (VZV).
Effective Date: 04/18 Replaces: 0 4 / 1 3 / 1 7 Page 1 of 4 POLICY: To provide guidance on prevention and control of illness caused by varicella-zoster virus (VZV). DEFINITIONS Two syndromes occur from
More informationEvolving therapies for posterior uveitis. Infliximab (Remicade) Infliximab: pharmacology. FDA-approved monoclonal antibody therapy Target
Evolving therapies for posterior uveitis Sam Dahr, M.D. September 17, 2005 Midwest Ophthalmology Conference Infliximab (Remicade) FDA approved for Crohn s disease, rheumatoid arthritis, and psoriatic arthritis
More informationLiver failure &portal hypertension
Liver failure &portal hypertension Objectives: by the end of this lecture each student should be able to : Diagnose liver failure (acute or chronic) List the causes of acute liver failure Diagnose and
More informationLegal aspects in accidents and neglect.
Al-Al Bayt University Princess Salma Faculty of Nursing Adult Health nursing Course Title :Child Health Nursing Course Number :1001341 Credit Hours :3 Pre requisite :1001222 Placement : Instructor:,, Course
More informationAntiallergics and drugs used in anaphylaxis
Antiallergics and drugs used in anaphylaxis Antiallergics and drugs used in anaphylaxis The H 1 -receptor antagonists are generally referred to as antihistamines. They inhibit the wheal, pruritus, sneezing
More informationCrohn's disease CAUSES COURSE OF CROHN'S DISEASE TREATMENT. Sulfasalazine
Crohn's disease Crohn's disease is an inflammatory condition of the digestive tract that affects children and adults. Common features of Crohn's disease include mouth sores, diarrhea, abdominal pain, weight
More informationPVACE-BOP (Hodgkin s Lymphoma)
DRUG ADMINISTRATION SCHEDULE Day Drug Dose Route Diluent Rate 1 Ondansetron 8mg IV / Oral vinblastine 6mg/m 2 (Max: 10mg) IV Infusion Etoposide 100mg/m 2 IV infusion Patients over 65 years by 15 min infusion
More informationCircle Yes or No Y N. (Note: requests without this information will not be accepted.) [If no, then no further questions.]
04/25/2016 Prior Authorization AETA BETTER HEALTH OF LA MEDICAID Colony Stimulating Factors (LA88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information,
More information2. Is therapy prescribed by, or in consultation with, a hematologist and/or oncologist?
Pharmacy Prior Authorization AETA BETTER HEALTH EW JERSE (MEDICAID) Colony Stimulating Factors (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review
More informationVI.2 Elements for a public summary
VI.2 Elements for a public summary VI.2.1 Overview of disease epidemiology Leukaemia is a cancer that starts in the blood-forming cells of the bone marrow. Chronic lymphocytic leukaemia (CLL) is a type
More informationInterQual Level of Care 2018 Index
InterQual Level of Care 2018 Index Long-Term Acute Care (LTAC) Criteria The Index is an alphabetical listing of conditions and/or diagnoses designed to guide the user to the criteria subset where a specific
More informationAETNA BETTER HEALTH Non-Formulary Prior Authorization guideline for Colony Stimulating Factor (CSF)
AETNA BETTER HEALTH Non-Formulary Prior Authorization guideline for Colony Stimulating Factor (CSF) Colony Stimulating Factor (CSF) Neupogen (filgrastim; G-CSF), Neulasta (peg-filgrastim; G-CSF); Neulasa
More informationHEALTH SERVICES POLICY & PROCEDURE MANUAL
PAGE 1 of 6 PURPOSE To establish basic understanding of indications and contraindications for transplantation of various organs. POLICY The N.C. Department of Correction, Division of Prisons, Health Services
More informationTRANSPARENCY COMMITTEE OPINION. 27 January 2010
The legally binding text is the original French version TRANSPARENCY COMMITTEE OPINION 27 January 2010 TORISEL 25 mg/ml, concentrate for solution and diluent for solution for infusion Box containing 1
More informationAn Overview of Blood and Marrow Transplantation
An Overview of Blood and Marrow Transplantation October 24, 2009 Stephen Couban Department of Medicine Dalhousie University Objectives What are the types of blood and marrow transplantation? Who may benefit
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Rayos) Reference Number: CP.CPA.273 Effective Date: 11.16.16 Last Review Date: 11.17 Line of Business: Commercial Revision Log See Important Reminder at the end of this policy for important
More informationSTEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL
MAIN OFFICE: (618) 692-7478 MORGUE: (618) 296-4525 FAX: (618) 692-6042 FAX: (618) 692-9304 STEPHEN P. NONN OFFICE OF THE CORONER MADISON COUNTY, ILLINOIS 157 MAIN STREET SUITE 354 EDWARDSVILLE, IL. 62025-1962
More informationNCCP Chemotherapy Regimen. Obinutuzumab and Chlorambucil Therapy
INDICATIONS FOR USE: Obinutuzumab INDICATION ICD10 Regimen Code *Reimbursement Indicator Treatment of adult patients with previously untreated chronic lymphocytic leukaemia (CLL) and with comorbidities
More informationParenteral Products. By: Howida Kamal, Ph.D
Parenteral Products By: Howida Kamal, Ph.D Dosage forms Route of administration Enteral INTO Parenteral ONTO Topical Dosage forms Physical form Solid Liquid Semi-solid Powder Granules Tablets Capsules
More informationCANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE
1 CANNABIS AND CANNABINOIDS: 2017 REPORT, U.S. NATIONAL ACADEMIES OF SCIENCES, ENGINEERING AND MEDICINE The Health Effects of Cannabis and Cannabinoids. The Current State of Evidence and Recommendations
More informationICD-10-CM. Test Your Knowledge Chapter 5. Using your ICD-10-CM codebook, code the following:
ICD-10-CM Test Your Knowledge Chapter 5 Using your ICD-10-CM codebook, code the following: 1) Tuberculoma of meninges 2) Episcleritis tuberculosis 3) Late effects of respiratory tuberculosis 4) Tuberculosis
More informationRITUXAN (rituximab and hyaluronidase human)
Drug Prior Authorization Guideline RITUXIMAB products J9310 RITUXAN (rituximab and hyaluronidase human) PA9847 Covered Service: Prior Authorization Required: Additional Information: Yes when meets criteria
More informationNCCP Chemotherapy Regimen
Dose Dense DOXOrubicin, Cyclophosphamide (AC 60/600) 14 day followed by PACLitaxel (175) 14 day and Trastuzumab Therapy (DD AC-TH) Note: There is an option for Dose Dense DOXOrubicin, cyclophosphamide
More informationOntario s Referral and Listing Criteria for Adult Pancreas-After- Kidney Transplantation
Ontario s Referral and Listing Criteria for Adult Pancreas-After- Kidney Transplantation Version 2.0 Trillium Gift of Life Network Adult Pancreas-After-Kidney Transplantation Referral & Listing Criteria
More informationINFLAMMATORY DISEASES PART I. Immunopathology Part I
INFLAMMATORY DISEASES PART I Immunopathology Part I Nonspecific & T Cell Mediated Mucosal Inflammatory Lesions Nonspecific and Idiopathic Mucositis Hypersensitivity and Autoimmune T cell mediated Immunoglobulin
More informationCardiff & Vale (C&V) UHB Corporate Medicines Management Group (c MMG) SHARED CARE. Drug: AZATHIOPRINE Protocol number: CV 04
Cardiff & Vale (C&V) UHB Corporate Medicines Management Group (c MMG) SHARED CARE Drug: AZATHIOPRINE Protocol number: CV 04 Indication: RENAL, PANCREAS OR COMBINED RENAL PANCREAS TRANSPLANTATION LIVER
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 informationR-BAC-500 (Rituximab, Bendamustine, Cytarabine) for Mantle Cell Lymphoma
R-BAC-500 (Rituximab, Bendamustine, Cytarabine) for Mantle Cell Lymphoma Not routinely commissioned, each case requires prior documented approval before offering & commencing therapy from NHS England Cancer
More informationNeosynephrine. Name of the Medicine
Name of the Medicine Neosynephrine Phenylephrine hydrochloride 1% injection Neosynephrine Presentation Neosynephrine is a clear, colourless, aqueous solution, free from visible particulates, in sterile
More informationNCCP Chemotherapy Regimen. Obinutuzumab Maintenance Therapy following O-Bendamustine therapy
Obinutuzumab following O-Bendamustine therapy INDICATIONS FOR USE: INDICATION Obinutuzumab maintenance therapy is indicated in patients with follicular lymphoma (FL) who have responded to induction treatment
More informationFungal infection in the immunocompromised patient. Dr Kirsty Dodgson
Fungal infection in the immunocompromised patient Dr Kirsty Dodgson Aims Discuss different types of fungi Overview of types of clinical infections Clinical Manifestations Fungus Includes Moulds Aspergillus
More informationNeupogen (Filgrastim)/Neulasta (Pegfilgrastim)
Policy Number Reimbursement Policy NEU12182013RP Approved By UnitedHealthcare Medicare Reimbursement Policy Committee Current Approval Date 12/18/2013 IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This
More informationNCCP Chemotherapy Protocol. Ponatinib Therapy
INDICATIONS FOR USE: INDICATION Treatment of adult patients with chronic phase, accelerated phase, or blast phase chronic myeloid leukaemia (CML) who are resistant to dasatinib or nilotinib; who are intolerant
More informationHypertensives Emergency and Urgency
Hypertensives Emergency and Urgency Budi Yuli Setianto Cardiology Divisision Department of Internal Medicine Faculty of Medicine UGM Sardjito Hospital Yogyakarta Background USA: Hypertension is 30% of
More informationCURRENT WORK PLAN New monographs for inclusion in The International Pharmacopoeia and revision of related monographs
page 1 CURRENT WORK PLAN New monographs for inclusion in The International Pharmacopoeia and revision of related monographs 2011 The following categories are included in this work programme: 1. Medicines
More informationR-ICE Regimen- Rituximab, Etoposide, Ifosfamide (with MESNA), Carboplatin (+ Depocyte if CNS involvement)
R-ICE Regimen- Rituximab, Etoposide, Ifosfamide (with MESNA), Carboplatin (+ Depocyte if CNS involvement) Available for Routine Use in Burton in-patient Derby in-patient Burton day-case Derby day-case
More informationH&HD ANTINEOPLASTIC DRUG CARD ASSEMBLY INSTRUCTIONS
H&HD ANTINEOPLASTIC DRUG CARD ASSEMBLY INSTRUCTIONS Each of you should have 37 new cards: 7 orange cards for antimetabolites 11 white cards for miscellaneous drugs (2 DNA synthesis inhibitors, 1 enzyme,
More informationANTI COLD / ANTI ALLERGIC / ANTI-ASTHMATICS GIT PRODUCTS
SR. NO 1 ANTI COLD / ANTI ALLERGIC / ANTI-ASTHMATICS Paracetamol 500 mg, Phenylephrine HCL 5 mg With Chlorpheniramine Maleate 2 mg & Caffeine 30 mg Tablets 2 Salbutamol Tablets BP 2 mg 3 Salbutamol Tablets
More informationOMCJH.CHEM.COLL.INF.1001 Therapeutic Drug Monitoring Guidelines
OMCJH.CHEM.COLL.INF.1001 Copy of version 1.0 (approved and current) Last Approval or Periodic Review Completed 10/5/2017 Next Periodic Review Needed On or Before 10/5/2019 Effective Date 10/5/2017 Controlled
More informationNCCP Chemotherapy Protocol. CHOEP Therapy 21 days. Treatment of T-cell Non-Hodgkins Lymphoma C a
CHOEP Therapy 21 days INDICATIONS FOR USE: INDICATION ICD10 Protocol Code Treatment of T-cell Non-Hodgkins Lymphoma C85 00396a ELIGIBILTY: Indication as above Age < 60 years Adequate haematological, renal
More informationChapter 4 Section 9.1
Surgery Chapter 4 Section 9.1 Issue Date: August 26, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) 1.0 CPT 1 PROCEDURE CODES 33010-33130, 33140, 33141, 33361-33369, 33200-37186, 37195-37785, 92950-93272,
More informationDrugs That Require Prior Authorization (PA) Before Being Approved for Coverage
Drugs That Require Prior Authorization (PA) Before Being Approved for Coverage You will need authorization by your UA Medicare Part D Prescription Drug Plan before filling prescriptions for the drugs shown
More informationFor peripheral blood stem cell (PBSC) mobilization prior to and during leukapheresis in cancer patients preparing to undergo bone marrow ablation
Last Review: 4/2010 NON-FORMULARY Clinical Guideline Neupogen (filgrastim; G-CSF), Neulasta (peg-filgrastim; G-CSF), Neumega (oprelvekin; rh-il-11), Leukine (sargramostim; GM-CSF) Indications Neupogen
More informationCOURSE OUTLINE Pathophysiology
Butler Community College Health, Education, and Public Services Division Denise LaKous Revised Spring 2014 Implemented Fall 2015 Textbook Update Fall 2015 COURSE OUTLINE Pathophysiology Course Description
More informationManufacturing and Marketing permission issued from SND Division from to
Manufacturing and Marketing permission issued from SND Division from 01.01.2018 to 28.09.2018. S.No Drug Name Composition Indication Date of Approval As a component of multi agent Pegaspargase Each vial
More informationProduct Visual Guide
Product Visual Guide Teamwork A team with an unflinching faith in one another is one of our core strength. Excellence Achieving excellence is not the end result, we begin with excelling in any endeavor.
More informationGazyva (obinutuzumab)
STRENGTH DOSAGE FORM ROUTE GPID 1000mg/40mL Vial Intravenous 35532 MANUFACTURER Genentech, Inc. INDICATION(S) Gazyva (obinutuzumab) is a CD20- directed cytolytic antibody and is indicated, in combination
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 informationProduct Catalog. Pediatric Learning Solutions. Listing of all current products (as of May, 2013) offered by Children's Hospital Association.
Product Catalog Pediatric Learning Solutions Listing of all current products (as of May, 2013) offered by Children's Hospital Association. Acquired Heart Disease in Children WBT Acute Respiratory Distress
More informationRisk Evaluation and Mitigation Strategy (REMS): Cytokine release syndrome and neurological toxicities
Risk Evaluation and Mitigation Strategy (REMS): Cytokine release syndrome and neurological toxicities A REMS is a program required by the FDA to manage known or potential serious risks associated with
More informationClinical Toxicology Toxicity of Digitalis Glycosides 5 th Year (Lab 3)
Clinical Toxicology Toxicity of Digitalis Glycosides 5 th Year (Lab 3) Lecturer: Rua Abbas Al-Hamdy Department of Pharmacology & Toxicology University of Al-Mustansiriyah 2017-2018 Introduction: Digitalis
More information