See accompanying complete Prescribing Information for TESTOPEL.
|
|
- Jemimah McCarthy
- 6 years ago
- Views:
Transcription
1 See accompanying complete Prescribing Information for.
2 Testopel Means... No Pain, All Gain Month 1 Month 2 Month 3 Month 4 Months 5 or 6 Week Testosterone Injection Into Muscle 3-6 Pellets placed under the skin in back of hip Bi-weekly Testosterone Injection Into Muscle eliminates potential obstacles to patient compliance, such as the need for self-injection training, painful intramuscular injections and a dosing schedule that may be difficult to follow. Testosterone pellets are the androgen formulation with the longest biological action and strongest pharmacodynamic efficacy. 1
3 Treatment Considerations Compliance Convenience Cost* PATIENT: THE BUSY PROFESSIONAL Name: Tom Age: 48 Profession: Manufacturing Executive Insurance: Premium Plan With National Carrier Lifestyle: Professional travel 3x per month, personal travel 2-4x per year, exercises at gym 2-3 weekday mornings per week TREATMENT SELECTION T GEL OR? Frequent travel may interrupt patient compliance. Patient may not want to apply T gel at gym 2-3 mornings per week. T GEL Daily application post-shower Monthly trip to pharmacy for refill 4x per year office visit Medication co-pay - $600 per year Office visit co-pay - $80 per year TOTAL - $680 per year Placement 2-3x per year 4x per year office visit 100% covered under medical benefits Office visit co-pay - $80 per year TOTAL - $80 per year Recommendation: Scheduling issues may risk compliance with T gel. Insurance covers 100% of. Recommend pellets. SAVE $600/yr.* * Assumptions Testosterone Gel: $50 per month pharmacy co-pay; pellets: pellet placement covered at 100% under medical benefits. For either therapy each office visit is a $20 co-pay. ONLY IMPLANTABLE TESTOSTERONE PELLETS PRODUCE SERUM T LEVELS WITHIN NORMAL RANGE FOR UP TO 6 MONTHS 1 Testosterone (nmol/l)* Lower Limit of Normal 300 ng/dl Time (days) *nmol/l multiplied by 30 yields ng/dl By day 2 post-pellet insertion, all patients had reached a serum T level plateau. 1 Testosterone levels remained above the lower limit of normal (10 nmol/l) for ~6 months. 1 Author s Conclusion: T-pellets are the androgen formulation with the longest biological action and strongest pharmacodynamic efficacy in terms of gonadotrophin suppression. The pharmacokinetic features are advantageous compared to other T preparations, and the patient acceptance is high. IMPORTANT SAFETY INFORMATION may produce the following adverse events: breast development and breast discomfort, extra fluid in the body (edema), prostate enlargement accompanied by difficulty in urinating and changes in cholesterol blood levels. Men with carcinomas of the breast or with known or suspected carcinomas of the prostate should not take Pregnant women should also not take. LESS THAN 50% OF PATIENTS REMAIN COMPLIANT WITH THEIR MEDICATION 2 100% 80% 60% 40% 20% 0% 76% Rx Taken 9 OF 10 MEN PREFER T-PELLETS OVER THEIR PREVIOUS TREATMENT MODALITY 3 47% Rx Continued is the only FDA-approved testosterone replacement therapy that delivers spontaneous daily compliance, ensuring patients get the medicine they need so the desired clinical benefits are realized. PATIENT: THE PRE-DIABETIC TEACHER WITH CAPPED PHARMACY BENEFITS Name: Rick Age: 56 Profession: High School Teacher Insurance: Capped Pharmacy Benefit Plan Considerations: Pre-diabetic Treatment Considerations Compliance Convenience Cost* TREATMENT SELECTION T GEL OR? Recommendation: Patient is pre-diabetic; therefore, compliance with testosterone replacement therapy and lifestyle modification is critical. T GEL Daily application post-shower Monthly trip to pharmacy for refill 6x per year office visit Medication co-pay - $600 per year Medication expense post-pharmacy benefit limit - $800 per year Office visit co-pay - $240 per year TOTAL - $1,640 per year Placement 2-3x per year 6x per year office visit Medication - $540 per year Pellet placement - $150 per year Office visit co-pay - $240 per year TOTAL - $930 per year Compliance is essential for pre-diabetic. Patient s insurance benefits make an excellent choice. Recommend pellets. SAVE OVER $700/yr.* * Assumptions Testosterone Gel: $75 per month pharmacy co-pay for 8 months and $200 per month post-pharmacy benefit; : 6 pellets, 3x per year, $30 per pellet to patient, balance of pellet expense covered under medical benefits, pellet placement covered at 50%. For either therapy each office visit is a $40 co-pay.
4 Testopel Means... No Mess, Less Distress Avoid Daily Application of Medication Avoid Monthly Co-pays Avoid Monthly Trips to the Pharmacy Avoid the Worry of Transferring Medication to Women/Children Avoid Daily Interference with Showers and Workouts YES YES YES YES YES Gel Therapy NO NO NO NO NO eliminates potential obstacles to patient compliance, such as the daily administration of gel therapy and high pharmacy co-pays.
5 THE REIMBURSEMENT PROGRAM ONE SIMPLE CALL DOES IT ALL. ONE SIMPLE CALL... AND YOUR REIMBURSEMENT PROGRAM TEAM GOES TO WORK A small, knowledgeable team will be assigned to your practice. - Your Reimbursement Team will routinely communicate with the insurance plans that represent your patient population. ONE SIMPLE CALL... AND YOUR REIMBURSEMENT PROGRAM TEAM DOES ALL THE HEAVY LIFTING Pre-Treatment Services 4 Benefit Investigation 4 Prior Authorization Post-Treatment Services 4 Claim Appeal 4 Low Payment Appeal p: 866.SLATE.50, opt. 5 f: Monday Friday, 9:00am 6:00pm ET IMPORTANT SAFETY INFORMATION SLATE PHARMACEUTICALS HEADQUARTERS 318 Blackwell Street, Suite 240 Durham, North Carolina p: 866.SLATE.50 f: REIMBURSEMENT PROGRAM p: 866.SLATE.50, opt. 5 f: Monday Friday, 9:00am 6:00pm ET may produce the following adverse events: breast development and breast discomfort, extra fluid in the body (edema), prostate enlargement accompanied by difficulty in urinating and changes in cholesterol blood levels. Men with carcinomas of the breast or with known or suspected carcinomas of the prostate should not take. Pregnant women should also not take. References: 1. Jockenhövel F, Vogel E, Kreutzer M, Reinhardt W, Lederbogen S, Reinwein D. Pharmacokinetics and pharmacodynamics of subcutaneous testosterone implants in hypogonadal men. Clin Endocrinol. 1996;45(1): Disease Management and Drug Adherence DMHC2303. Datamonitor (06/2007). 3. Handelsman DJ, Mackey MA. Howe C, Turner L, Conway AJ. Am analysis of testosterone implants for androgen replacement therapy. Clin Endo. 1997;47: Slate Pharmaceuticals. All rights reserved. Printed in the USA. Testopel 35748
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Pellet (Testopel) Reference Number: CP.PHAR.354 Effective Date: 08.01.17 Last Review Date: 11.18 Line of Business: Medicaid Coding Implications Revision Log See Important Reminder at the
More informationAVEED TESTOSTERONE INJECTION. Not an actual patient.
Ask your healthcare provider about LONG-ACTING AVEED AVEED TESTOSTERONE INJECTION 5 SHOTS A YEAR AFTER THE FIRST MONTH OF THERAPY Not an actual patient. AVEED is a prescription medicine that contains testosterone,
More informationCorporate Medical Policy Testosterone Pellet Implantation for Androgen Deficiency
Corporate Medical Policy Testosterone Pellet Implantation for Androgen Deficiency File Name: Origination: Last CAP Review: Next CAP Review: Last Review: testosterone_pellet_implantation_for_androgen_deficiency
More informationWhat to Expect When You Visit. The First Visit. Follow Up Visits. Laboratory Tests
Vibrant Health Naturopathic Medical Center & Clinical Thermography Dr. Nicole Schertell 100 Shattuck Way, Newington, NH 03801 (603) 431-6677 or (603) 610-7718 1-888-796-2862 fax Welcome! Vibrant Health
More informationClinical Policy: Testosterone Pellet (Testopel) Reference Number: CP.CPA.## [Pre-P&T approval] Effective Date:
Clinical Policy: (Testopel) Reference Number: CP.CPA.## [Pre-P&T approval] Effective Date: 07.25.17 Last Review Date: 11.17 Line of Business: Commercial Coding Implications Revision Log See Important Reminder
More informationAsk your healthcare provider about AVEED TESTOSTERONE INJECTION 5 SHOTS A YEAR. Not an actual patient.
Ask your healthcare provider about LONG-ACTING AVEED AVEED TESTOSTERONE INJECTION 5 SHOTS A YEAR AFTER THE FIRST MONTH OF THERAPY Not an actual patient. CONSUMERS What is the most important information
More informationClinical Policy: Implantable Hormone Pellets Reference Number: CA.CP.MP.507
Clinical Policy: Reference Number: CA.CP.MP.507 Effective Date: 1/12 Last Review Date: 7/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory and
More informationTestosterone Injection / Implant
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 Subject: Testosterone Injection / Implant Page: 1 of 9 Last Review Date: December 5, 2014 Testosterone
More informationMale New Patient Package
Male New Patient Package The contents of this package are your first step to restore your vitality. Please take time to read this carefully and answer all the questions as completely as possible. Thank
More informationASO core offerings. Self-funded groups, sized 100+
ASO core offerings Self-funded groups, sized 100+ Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Regence ASO core offerings Under an ASO
More informationPrior Authorization Criteria Update: Androgens, Topical and Parenteral
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 informationConroe ADHD Solutions
Diagnosis and Medical Management of ADD/ADHD How do we make the diagnosis of ADD/ADHD? We are very careful to be sure we have the diagnosis correct before considering treatment. In the past there were
More informationDiscover the birth control you ve been looking for. Highly reliable. Virtually hassle-free. Totally hormone-free.
Discover the birth control you ve been looking for Highly reliable. Virtually hassle-free. Totally hormone-free. Over 70 million women worldwide use a nonhormonal IUC like ParaGard. Millions of women with
More informationComprehensive support for your patients on MYALEPT
Comprehensive support for your patients on MYALEPT Insurance and financial assistance options (see page 3) Fulfillment support (see page 6) Co-pay assistance a,b (see page 4) Your patient Injection training
More informationTESTOSTERONE REPLACEMENT THERAPY
TESTOSTERONE REPLACEMENT THERAPY Testosterone is the hormone responsible for the normal growth and development of the male sex organs and for maintenance of secondary sex characteristics. These include
More informationTestosterone Injection and Implant
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.30.33 Subject: Testosterone Injection Implant Page: 1 of 10 Last Review Date: December 8, 2017 Testosterone
More informationINSURANCE DISCLAIMER
INSURANCE DISCLAIMER Preventative medicine and bio- identical hormone replacement is a unique practice and is considered a form of alternative medicine. Even though the physicians and nurses are board
More informationClinical Genetics Service
Clinical Genetics Service Helping You and Your Family Reduce Your Risk Your appointment is at AM/PM North Office Location 7714 Conner Road Suite 107 Knoxville, TN 37849 West Office Location Tennova Turkey
More informationFemale New Patient Package
Female New Patient Package The contents of this package are your first step to restore your vitality. Please take time to read this carefully and answer all the questions as completely as possible. Thank
More informationFemale Patient Questionnaire & History
!! Female Patient Questionnaire & History Name: Today s Date: (Last) (First) (Middle) Date of Birth: Age: Weight: Occupation: Home Address: City: State: Zip: Home Phone: Cell Phone: Work: E-Mail Address:
More information(FIRST) (MIDDLE) (LAST) STREET: CITY: STATE: ZIP CODE:
PATIENT INFORMATION EMAIL: MARITAL STATUS: [ ]MARRIED [ ]SINGLE [ ]DIVORCED [ ]WIDOWED NAME: (FIRST) (MIDDLE) (LAST) STREET: CITY: STATE: ZIP CODE: DOB: PHONE: [ ]Home [ ]Work [ ]Cell PHONE: [ ]Home [
More informationBIOTE HORMONE PELLETS
BIOTE HORMONE PELLETS What are BioTE Hormone Pellets? Hormone pellets are a convenient and effective method for hormone optimization for both men and women. Once inserted under the skin, a low dose of
More informationHome Delivery Pharmacy Program. mycigna.com k 1/07
Home Delivery Pharmacy Program mycigna.com 572507k 1/07 Stop Waiting in Line You need a reliable source for the prescription medications you and other covered family members take regularly. The CIGNA
More informationMale Patient Questionnaire & History
Male Patient Questionnaire & History Name: Today s Date: (Last) (First) (Middle) Date of Birth: Age: Weight: Occupation: Home Address: City: State: Zip: E-Mail Address: May we contact you via E-Mail? (
More informationFemale Patient Questionnaire & History
Female Patient Questionnaire & History Name: (Last) (First) (Middle) Today s Date: Home Phone: Cell Phone: Work: E-Mail Address: Primary Care Physician s Name: May we contact you via E-Mail? ( ) YES (
More informationFlexRx 6-Tier. SM Pharmacy Benefit Guide
FlexRx 6-Tier SM Pharmacy Benefit Guide Welcome to FlexRx The AllWays Health Partners FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many
More informationD. Janene Holladay, M.D. Board Certifications: American Board of Anesthesiology American Board of Pain Medicine American Board of Addiction Medicine
D. Janene Holladay, M.D. Board Certifications: American Board of Anesthesiology American Board of Pain Medicine American Board of Addiction Medicine Financial Disclosure I have no relevant financial relationships
More informationProDisc PAL (Patient Assistance Line). Assisting patients with obtaining insurance coverage for ProDisc.
ProDisc PAL (Patient Assistance Line). Assisting patients with obtaining insurance coverage for ProDisc. Patient Assistance Line (PAL) 800-895-7764 Instruments and implants approved by the AO Foundation
More informationAndroderm patch, AndroGel packets and pump, Axiron solution, First- Testosterone, First-Testosterone MC, Fortesta gel, Testim gel, Vogelxo
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.30.31 Subject: Testosterone Topical Page: 1 of 9 Last Review Date: September 23, 2016 Testosterone topical
More informationAmbulatory Cardiac Monitoring Modalities
Ambulatory Cardiac Monitoring Modalities NAVIGATING THE CHOICES MKT0390.03 LEARNING OBJECTIVES Identify the Clinical Applications for Each Modality Define and Distinguish Between the Various Monitoring
More informationTestosterone Injection and Implant
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.30.33 Subject: Testosterone Injection Implant Page: 1 of 10 Last Review Date: November 30, 2018 Testosterone
More informationTestosterone Injection and Implant
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.30.33 Subject: Testosterone Injection Implant Page: 1 of 10 Last Review Date: March 17, 2017 Testosterone
More informationThank you for downloading this patient assistance document from NeedyMeds. We hope this program will help you get the medicine you need.
Thank you for downloading this patient assistance document from NeedyMeds. We hope this program will help you get the medicine you need. Did you know that NeedyMeds has thousands of other free resources?
More informationTissue Expansion for Breast Reconstruction Preparation Instructions
Tissue Expansion for Breast Reconstruction Preparation Instructions What are my instructions? Shower with Bactoshield the night before and morning of each tissue expansion. What should my activity level
More informationMeet the many faces of pain
Meet the many faces of pain WWW.PRIALT.COM N O W M E E T Ziconotide is a synthetic equivalent of a naturally occurring conopeptide. Distributed by Elan Pharmaceuticals, Inc. (EPI). PRIALT is a registered
More informationMale New Patient Package
Male New Patient Package The contents of this package are your first step to restore your vitality. Please take time to read this carefully and answer all the questions as completely as possible. Thank
More informationONE PILL, ONCE A DAY GET TO KNOW AUBAGIO. Ask your doctor if AUBAGIO may be right for you. Patient Portrayal
ONE PILL, ONCE A DAY GET TO KNOW AUBAGIO Patient Portrayal Ask your doctor if AUBAGIO may be right for you. INDICATION AUBAGIO (teriflunomide) is a prescription medicine used to treat relapsing forms of
More informationLate onset Hypogonadism. Dr KhooSay Chuan Department of Urology Penang General Hospital
Late onset Hypogonadism Dr KhooSay Chuan Department of Urology Penang General Hospital Late onset hypogonadism(loh) Definition LOH age associated testoteronedeficiency syndrome (TDS) Male menopause, andropause,
More informationImplantable Hormone Pellets
Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided
More informationRe: Health and Dental Insurance
Five Colleges, Inc. ~ Memorandum To: All Benefited s From: Barbara Lucey Date: November, 2017 Re: Health and Dental Insurance We are staying with Harvard Pilgrim as our health insurance carrier this year.
More informationNon-Occupational Post-Exposure HIV Prophylaxis npep
Non-Occupational Post-Exposure HIV Prophylaxis npep Peter Meacher MD (Chief Medical Officer) Anthony Vavasis MD (Director of Medicine) Callen-Lorde Community Health Center Objectives - at the end of the
More informationHow to treat: TRT modalities and formulations
How to treat: TRT modalities and formulations Paul PIETTE, PharmD Senior Research Fellow Clinique Antoine Depage - Belgium ppiette@besins-healthcare.com Bruges 2014, May 15 th Testosterone-replacement
More informationClient Information for Informed Consent FEMINIZING MEDICATIONS FOR TRANSGENDER CLIENTS
Client Information for Informed Consent FEMINIZING MEDICATIONS FOR TRANSGENDER CLIENTS Before using medications to transition and feminize, you need to know the possible advantages, disadvantages and risks
More informationTestosterone Oral Buccal Nasal. Android, Androxy, Methitest, Natesto, Striant, Testred. Description
1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.30.32 Subject: Testosterone Oral Buccal Nasal Page: 1 of 10 Last Review Date: March 17, 2017 Testosterone Oral Buccal Nasal Description
More informationCurrent Topics in Hormone Replacement Therapy
Current Topics in Hormone Replacement Therapy Corey R. Babb, D.O., FACOOG, IF, NCMP Clinical Assistant Professor of Obstetrics and Gynecology Director of the Oklahoma State University Center for Women
More informationClinical Policy: Goserelin Acetate (Zoladex) Reference Number: CP.PHAR.171 Effective Date: Last Review Date: Line of Business: Medicaid
Clinical Policy: (Zoladex) Reference Number: CP.PHAR.171 Effective Date: 10.01.16 Last Review Date: 11.17 Line of Business: Medicaid Coding Implications Revision Log See Important Reminder at the end of
More informationSacral Nerve Stimulation (SNS) System Implantation
Patient & Family Guide 2016 Sacral Nerve Stimulation (SNS) System Implantation www.nshealth.ca Sacral Nerve Stimulation (SNS) System Implantation SNS system implantation involves placing a lead ( leed,
More informationDaniel Lander, ND, FABNO
1255 Sheppard Avenue East Toronto, ON M2K 1E2 416.498.1255 x 280 The Integrated Healthcare Centre at The Canadian College of Naturopathic Medicine Informed Consent & Request for Naturopathic Medicine Practitioner
More informationPROOF. Group Dental Plan For the State of Florida Employees and Their Families, 2018 People First Plan Codes 4021, 4022 and 4023
Group Dental Plan For the State of Florida Employees and Their Families, 2018 People First Plan Codes 4021, 4022 and 4023 Dental benefits are our specialty, and we work hard to make a plan that works for
More information25 mg oestradiol implants--the dosage of first choice for subcutaneous oestrogen replacement therapy?
Research Subcutaneous estrogen replacement therapy. Jones SC. Journal of Reproductive Medicine March, 2004; 49(3):139-142. Department of Obstetrics and Gynecology, Keesler Medical Center, Keesler Air Force
More informationZytiga. Zytiga (abiraterone acetate) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.04.28 Subject: Zytiga Page: 1of 5 Last Review Date: March 13, 2014 Zytiga Description Zytiga (abiraterone
More informationFemale New Patient Package
Female New Patient Package The contents of this package are your first step to restore your vitality. Please take time to read this carefully and answer all the questions as completely as possible. Thank
More informationInitial Visit Forms. Life in Motion Chiropractic & Wellness 6139 Route 96 -Suite 1 Farmington, NY (585)
Initial Visit Forms 6139 Route 96 -Suite 1 Patient Name: Patient Intake Form Name: Date: Address: City: State: Zip: Home #: ( ) Cell #: ( ) Work #: ( ) E-mail: Preferred method of contact: Date of Birth:
More informationFive Colleges, Inc. ~ Memorandum
Five Colleges, Inc. ~ Memorandum To: All Benefited s From: Barbara Lucey Date: October, 2017 Re: Health and Dental Insurance Health Plan Good news, we are staying with Harvard Pilgrim this year for both
More informationOriginal Policy Date
MP 5.01.30 Implantable Hormone Pellets Medical Policy Section Prescription Drug Issue 12:2013 Original Policy Date 12:2013 Last Review Status/Date Local Policy created with literature search/12:2013 Return
More informationFY17 SCOPE OF WORK TEMPLATE. Name of Program/Services: Medication-Assisted Treatment: Buprenorphine
FY17 SCOPE OF WORK TEMPLATE Name of Program/Services: Medication-Assisted Treatment: Buprenorphine Procedure Code: Modification of 99212, 99213 and 99214: 99212 22 99213 22 99214 22 Definitions: Buprenorphine
More informationOffice Hours Our office hours are Monday through Friday 7:30 am to 5:30pm. Our office is closed on all major Holidays.
Dear New Patient: We would like to welcome you to our practice. Our goal is to make your experience with us as pleasant as possible. In order to help us meet this goal we have listed some helpful hints
More information1 Ig. Prescribed for PI
1 Ig # Prescribed for PI Hizentra is a prescription medicine used to treat primary immune deficiency (PI) in patients 2 years and older. *Ig=Immunoglobulin Please see full on pages 12 13 and full prescribing
More informationSafe, effective, affordable drug choices: online tool for payers and patients.
Executive summary: Rising healthcare costs and greater access to medical information drive patients to seek options for their drug therapy. The MedAlternatives database by Gold Standard/Elsevier empowers
More informationInvesting in the future...helping kids and families
Investing in the future...helping kids and families Brief Descriptions of CANDI Research for Children and Adolescents Bipolar: Lamotrigine Hormonal Influences COLT II (Lithium) Vitamin D Typically Developing
More informationTestosterone Therapy in Men with Hypogonadism
Testosterone Therapy in Men with Hypogonadism (Endocrine Society 2018 Guideline) Ngwe Yin, MD Assistant Clinical Professor of Medicine, UCSF Fresno Medical Education Program Disclosures None Objective
More informationDanJack Enterprises, Inc., d/b/a Business Resource Services (BRS) FUSION Highlight Sheet
Plan 1 Effective Date: 1/1/2019 FUSION: THE ULTIMATE CHOICE SM combines dental and eye care benefits in one easy-to-administer plan. This plan combines the annual maximum between the dental and eye care
More information6/14/2010. GnRH=Gonadotropin-Releasing Hormone.
Male Androgen Replacement Mitchell Sorsby, MD June 19, 2010. QUESTION # 1 Which of the following is not a symptom associated with low T levels? a) decreased libido b) erectile dysfunction c) depression
More informationInformation and Consent for Administration of Immunotherapy (Allergy Injections)
Information and Consent for Administration of Immunotherapy (Allergy Injections) PLEASE READ AND BE CERTAIN THAT YOU UNDERSTAND THE FOLLOWING INFORMATION PRIOR TO SIGNING THIS CONSENT FOR TREATMENT PURPOSE
More informationTrees Hall. Bellefield Hall
Classes Begin: Monday, 5/7/2018 Classes End: Friday, 8/10/2018 No Class: Memorial Day: 5/28/2018 & Independence Day: 7/4/2018 Trees Hall Indoor Cycling 4400 Monday / Wednesday 12:00-12:55 PM HFC Indoor
More informationLuteinising hormone-releasing hormone (LHRH) agonists in prostate cancer
B88 April 2015 2.1 Community Interest Company Luteinising hormone-releasing hormone (LHRH) agonists in prostate cancer This bulletin focuses on luteinising hormone-releasing hormone (LHRH) agonists. Currently
More informationTrees Hall. Bellefield Hall. Add a Fitness Center Membership for a small additional price!
Classes Begin: Tuesday, 9/5/2017 Classes End: Friday, 12/8/2017 No Class: Labor Day: 9/4/2017 & Thanksgiving Break: 11/23-24/2017 Trees Hall Kettle + Conditioning Fitness Kickboxing Fitness Kickboxing
More informationEXAMPLE ONLY. RxBIN Issuer (80840) ID NAME Drew Zehnder. Houston Methodist 6565 Fannin Street, GB164 Houston, TX 77030
Houston Methodist 6565 Fannin Street, GB164 Houston, TX 77030 00001 RxBIN 004336 RxPCN ADV RxGRP RX3151 Issuer (80840) 9151014609 ID NAME 111111111 Drew Zehnder Present this Prescription Card to fill your
More informationINFORMATION SHEET FOR THE DEPARTMENT OF PAIN AND PALLIATIVE CARE
INFORMATION SHEET FOR THE DEPARTMENT OF PAIN AND PALLIATIVE CARE Please review the following instructions as it contains important information regarding the management of your pain. Once reviewed, our
More informationPATIENT SIGNATURE: DOB: Date:
CINCINNATI PAIN PHYSICIANS, LLC (CPP) ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES By signing below, I acknowledge that I have received a copy of CPP s Notice of Privacy Practices. The Notice
More informationMedication Therapy Management: Improving Health and Saving Money
Medication Therapy Management: Improving Health and Saving Money Ed Staffa, RPh Vice President, Pharmacy Mirixa Corporation estaffa@mirixa.com July 23, 2008 MTM At A Glance The U.S. health care system
More informationCan you imagine reversible birth control that s more than 99% effective and 100% hormone free, too?
Can you imagine reversible birth control that s more than 99% effective and 100% hormone free, too? BIRTH CONTROL THAT FITS YOUR LIFE, NATURALLY. ParaGard is a registered trademark of Teva Women s Health,
More informationNews & Views. Antipsychotics on Maryland Medicaid PDL and Coverage of a 30-day Emergency Supply of Atypical Antipsychotics
Maryland Medicaid Pharmacy Program News & Views February 2011 Maryland Department of Health and Mental Hygiene /Office of Systems, Operations and Pharmacy Antipsychotics on Maryland Medicaid PDL and Coverage
More informationDeductible 3 Individual $50 $50. Annual Maximum Benefit: Per Individual $2,000 $2,000
Dental Plan Design for: Ector County Independent School District Original Plan Effective Date: January 1, 2018 Network: PDP Plus The Preferred Dentist Program was designed to help you get the dental care
More informationTestosterone Oral Buccal Nasal. Android, Androxy, Methitest, Natesto, Striant, Testred. Description
1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.30.32 Subject: Testosterone Oral Buccal Nasal Page: 1 of 10 Last Review Date: November 30, 2018 Testosterone Oral Buccal Nasal
More informationPrescriber and Pharmacy Guide for the Tracleer REMS Program
Prescriber and Pharmacy Guide for the Tracleer REMS Program Please see accompanying full Prescribing Information, including BOXED WARNING for hepatotoxicity and teratogenicity. Introduction to Tracleer
More informationLiSWT Treatment of Erectile Dysfunction. You ve heard of shockwave treatment of erectile dysfunction, and you may have heard
LiSWT Treatment of Erectile Dysfunction You ve heard of shockwave treatment of erectile dysfunction, and you may have heard of LiSWT, but just exactly what is it. LiSWT stands for Low intensity Shock Wave
More informationHELPING LIFT YOU THROUGH YOUR JOURNEY WITH SYMPTOMATIC SARCOIDOSIS
HELPING LIFT YOU THROUGH YOUR JOURNEY WITH SYMPTOMATIC SARCOIDOSIS Your Guide to Acthar SUPPORTING YOU FROM THE START OF YOUR TREATMENT H.P. Acthar Gel is a prescription medicine for people with symptoms
More informationNYS Paid Family Leave (PFL) Q & A 5/10/18
NYS Paid Family Leave (PFL) Q & A 5/10/18 Question 1: Question 2: What is NYS Paid Family Leave (PFL)? NYS Paid Family Leave will provide eligible workers with wage replacement during time away from work
More informationLUNG CANCER CLINICAL TRIALS
UNDERSTANDING SERIES LUNG CANCER CLINICAL TRIALS 1-800-298-2436 LungCancerAlliance.org A GUIDE FOR THE PATIENT THE BASICS ABOUT CLINICAL TRIALS WITH MORE INFORMATION YOU CAN MAKE BETTER CHOICES. The decision
More informationThe Concierge Program
Horizon Medical Group Internal Medicine Delivering Personalized Preventive Care Charles Silvera, M.D. Eric Kirschner, M.D. Lawrence P. Schwartz, M.D. Sidney K. Stein, M.D. Robert J. Samuelson, M.D. The
More informationIndex. urologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Acquired hypogonadism, prevalence of, 165 167 primary, 165 secondary, 167 Adipose tissue, as an organ, 240 241 Adrenal hyperplasia, congenital,
More informationMEDICAL SCHEDULE OF BENEFITS
MEDICAL SCHEDULE OF BENEFITS Plan(s) 011 (F) All health benefits shown on this Schedule of Benefits are subject to the following: Lifetime and annual maximums, Deductibles, Co-pays, Plan Participation
More informationDo you. chronic conditions. for customers
Do you understand chronic conditions AND HIV? for customers HIV/AIDS, now seen as a chronic condition The sterling success of anti-retroviral therapy and a vastly improved understanding of this condition,
More informationUnderstanding Your Patient Care Opportunity Report (PCOR)
Understanding Your Patient Care Opportunity Report (PCOR) Use your January/February 208 PCOR to help improve performance on Medicare Part D Clinical Star Ratings measures. Your January/February 208 Patient
More informationGetting started with Prime
Getting started with Prime How does a pharmacy plan work? When you visit your doctor, he or she may prescribe medicine for you. Here's how the plan works: Take your prescription and member ID card to the
More informationInformation on Feminizing Medications
201 Plageman Building 108 SW Memorial Place Corvallis, Oregon 97331 P 541-737-9355 F 541-737-9694 studenthealth@oregonstate.edu Information on Feminizing Medications Persons in the male-to-female spectrum
More informationERLEADA (apalutamide) oral tablet
ERLEADA (apalutamide) 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
More informationPharmacy Coverage Guidelines are subject to change as new information becomes available.
TESTOSTERONE REPLACEMENT THERAPY: ANDRODERM transdermal patch ANDROGEL pump transdermal gel and transdermal gel AXIRON transdermal solution FORTESTA transdermal gel NATESTO nasal gel STRIANT buccal mucoadhesive
More informationModernized Reference Drug Program
Modernized Reference Drug Program Monitoring Report For the period ending May 31, 2017 Issued: November 2017 Published by: Pharmaceutical Services Division and Health Sector Information, Analysis and Reporting
More informationYour Starting Point. Our Wellness Portal is the perfect place to begin your path to health
Fall 2014 Your Starting Point Our Wellness Portal is the perfect place to begin your path to health - Time for a yearly check-up - Is sleep apnea hurting your health? - Cholesterol by the numbers ONE TO
More informationPharmacy benefit guide
FlexRx SM 5-Tier Pharmacy benefit guide 1 Welcome to FlexRx The NHP FlexRx SM program is built for choice, savings, and convenience with benefits including: Low-cost drug tier for many common medications
More informationPreventive Care Survey for Employers
Preventive Care Survey for Employers Business Health Care Group April, 05 Purpose of Survey Educate members of BHCG on the safe harbor example of compliance with the ACA mandate on tobacco cessation coverage
More informationPSYCHOLOGIST-PATIENT SERVICES
PSYCHOLOGIST-PATIENT SERVICES PSYCHOLOGICAL SERVICES Welcome to my practice. Because you will be putting a good deal of time and energy into therapy, you should choose a psychologist carefully. I strongly
More informationYour Guide to Healthy Activities: Improve Your Health and Lower Your Costs
Your Guide to Healthy Activities: Improve Your Health and Lower Your Costs HealthyU. Live healthy. Earn rewards. UPMC HealthyU is a unique health insurance plan that rewards you for making healthy choices.
More information2019 TakeCare Supplemental Wellness Package FAQ Updated 1/15/19
2019 TakeCare Supplemental Wellness Package FAQ Updated 1/15/19 1. Can I enroll in the Package now? No, the package was only available for enrollment during Open Season which ends December 10, 2018. However,
More information