Proton Pump Inhibitors
|
|
|
- Betty Cain
- 5 years ago
- Views:
Transcription
1 Market DC Proton Pump Inhibitors Override(s) Prior Authorization Quantity Limit** Approval Duration Preferred PPI: No Prior Authorization required Preferred PPI quantity override: Lifetime Non-Preferred PPI: 1 year h. pylori diagnosis 14 days Non-Preferred PPI quantity override: Not to exceed termination of approval of PA h. pylori diagnosis 14 days If PAB criteria is met AND The individual has any one of the following diagnosis: [Structural GERD (erosive esophagitis, Barrett s Esophagus, esophageal strictures, acid-induced asthma, scleroderma or limited scleroderma (CREST syndrome)), Hypersecretory Syndromes (Zollinger- Ellison, multiple endocrine adenomas, or systemic mastocytosis.) or laryngeal, esophageal, or gastric cancer]: 1 year **Quantity Supply Overrides (listed in the above below) If Prior Authorization of Benefits criteria for nonpreferred agent are met, the following criteria will apply for quantity supply: If the individual was on a preferred agent, at a dose of 2 per day, then the quantity limit may be overridden on the non-preferred agent to 2 per day If the individual was on a preferred agent at a dose of 1 per day, then they must first try once daily dosing of the non-preferred agent prior to going to BID dosing PAGE 1 of 6 11/01/2018
2 Market DC Medications Strength Quantity Limit Preferred PPIs Omeprazole Rx (for individuals less than 6 years old only) Omeprazole magnesium OTC Prevacid 24HR OTC (lansoprazole) brand and generic Prilosec OTC (omeprazole, omeprazole magnesium) brand and generic 20mg capsule (for individuals less than 6 years old only) 20.6mg capsules 15mg capsules 20mg, 20.6mg tablets Nexium 24HR OTC 20mg tablets Nexium 24HR OTC (esomeprazole DR OTC) brand and generic Zegerid OTC Non-Preferred PPIs 20mg capsules 20mg-1.1g capsules AcipHex (rabeprazole) 20mg tablets AcipHex Sprinkle 5mg, 10mg capsules (rabeprazole) Dexilant (dexlansoprazole) 30mg, 60mg capsules PAGE 2 of 6 11/01/2018
3 Market DC Dexilant SoluTab 30mg tablets (dexlansoprazole ODT) esomeprazole strontium 49.3mg capsules lansoprazole (Rx) 15mg, 30mg capsules Nexium (esomeprazole) 20mg, 40mg capsules (Rx) Nexium DR packet 10 mg packet Nexium Suspension (esomeprazole) Omeppi Omeprazole (Rx) 2.5mg, 5mg, 10mg 20mg, 40mg packets 20mg-1.1g, 40mg-1.1g capsules 10mg, 40mg capsules 20mg capsules (for individuals 6 years and older) Pantoprazole (Rx) 20mg, 40mg tablets Prilosec Oral Suspension 2.5mg, 10mg packets (omeprazole magnesium) Prilosec Rx 20mg capsules Prilosec Rx (omeprazole) 40mg capsules Prevacid (lansoprazole) 15mg, 30mg capsules Prevacid Solutab (lansoprazole ODT) 15mg, 30mg oral disintegrating tablets Protonix (pantoprazole) 20mg, 40mg tablets Protonix Oral Suspension 40mg packets (pantoprazole) Rabeprazole 20mg tablets Zegerid Rx 20mg-1.1g, 40mg-1.1g capsules Zegerid Oral Suspension Rx Quantity Limit Override Criteria Increased Dosing up to 4 doses/day mg, mg packets PAGE 3 of 6 11/01/2018
4 Market DC for esomeprazole DR 20mg OTC capsules, Nexium 24HR 20mg OTC capsules/tablets, omeprazole OTC, Prilosec OTC, lansoprazole OTC, Prevacid 24 HR OTC Increased Dosing up to 2 doses/day for all other PPIs Approvable if the individual does not respond after a 30-day trial of stated dosing limit with the requested PPI or the individual has been diagnosed with eosinophilic esophagitis. Increased Dosing of 4 per day for 14 days for esomeprazole DR 20mg OTC capsules, Nexium 24HR 20mg OTC capsules/tablets, omeprazole OTC, Prilosec OTC, lansoprazole OTC, Prevacid 24HR OTC Increased Dosing of 2 per day for 14 days for all other PPIs Approvable for a diagnosis of: h. pylori, for eradication Increased Dosing beyond 4 doses/day for esomeprazole DR 20mg OTC capsules, Nexium 24HR 20mg OTC capsules/tablets, omeprazole OTC, Prilosec OTC, lansoprazole OTC, Prevacid 24HR OTC Increased Dosing beyond 2 doses/day for all other PPIs Approvable for: Hypersecretory syndromes (Zollinger-Ellison syndrome, multiple endocrine adenomas, or systemic mastocytosis Barrett s Esophagus Laryngeal, esophageal or gastric cancer Scleroderma or limited scleroderma (CREST syndrome) APPROVAL CRITERIA Requests for a non-preferred Proton Pump Inhibitor (PPI) may be approved for individuals who meet the following criteria: A. Individual has had trials (medication samples/coupons/discount cards are excluded from consideration as a trial) and inadequate response or intolerance to two (2) preferred proton pump inhibitors (PPIs): 1. Esomeprazole DR 20mg OTC (esomeprazole DR OTC or Nexium 24HR OTC 20mg)* PAGE 4 of 6 11/01/2018
5 Market DC 2. Lansoprazole OTC (lansoprazole OTC or Prevacid 24HR OTC); 3. Omeprazole OTC (omeprazole OTC, omeprazole magnesium OTC or Prilosec OTC tablets)*; 4. Omeprazole 20mg capsules Rx (for individuals less than 6 years old only)*; 5. Omeprazole/sodium bicarbonate OTC bicarbonate OTC, Zegerid OTC)*; B. The preferred PPIs are not acceptable due to the following concomitant clinical situations: 1. Individual has the inability to swallow tablets/capsules and the non-preferred agent is available in suspension or oral disintegrating tablet (ODT) formulation; 2. *Individual is utilizing clopidogrel [trials of esomeprazole DR OTC (Nexium 24HR OTC), omeprazole OTC (Prilosec OTC, omeprazole magnesium OTC), omeprazole 20mg capsule Rx (for individuals less than 6 years old only), and omeprazole/sodium bicarbonate OTC bicarbonate OTC, Zegerid OTC) products will not be required]. C. Individuals less than one (1) year of age are NOT subject to step therapy. Key References: Clinical Pharmacology [database online]. Tampa, : Gold Standard, Inc.: URL: Updated periodically. PAGE 5 of 6 11/01/2018
6 Market DC DailyMed. Package inserts. U.S. National Library of Medicine, National Institutes of Health website. Accessed: June 7, 2018 DrugPoints System (electronic version). Truven Health Analytics, Greenwood Village, CO. Updated periodically. Lexi-Comp ONLINE with AHFS, Hudson, Ohio: Lexi-Comp, Inc.; 2018; Updated periodically. PAGE 6 of 6 11/01/2018
Proton Pump Inhibitors (PPIs) (Sherwood Employer Group)
Proton Pump Inhibitors (PPIs) (Sherwood Employer Group) BCBSKS will review Prior Authorization requests Prior Authorization Form: https://www.bcbsks.com/customerservice/forms/pdf/priorauth-6058ks-st-ippi.pdf
Drug Class Monograph
Drug Class Monograph Class: Proton Pump Inhibitors Drugs: Aciphex Sprinkle (rabeprazole), Dexilant (dexlansoprazole), Lansoprazole, Nexium (esomeprazole capsule, esomeprazole granules), Omeprazole, Pantoprazole,
Pharmacy Coverage Guidelines are subject to change as new information becomes available.
PROTON PUMP INHIBITORS, NON-PREFERRED FORMS: ACIPHEX (rabeprazole sodium EC) oral tablet ACIPHEX SPRINKLE (rabeprazole sodium DR) oral capsule ESOMEPRAZOLE STRONTIUM (esomeprazole strontium DR) oral capsule
Proton Pump Inhibitors. Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.50.01 Subject: Proton Pump Inhibitors Page: 1 of 6 Last Review Date: June 24, 2015 Proton Pump Inhibitors
Proton Pump Inhibitors. Description. Section: Prescription Drugs Effective Date: July 1, 2014
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.09.01 Subject: Proton Pump Inhibitors Page: 1 of 7 Last Review Date: June 12, 2014 Proton Pump Inhibitors
Rpts. GENERAL General Schedule (Code GE) Program Prescriber type: Dental Medical Practitioners Nurse practitioners Optometrists Midwives
Esomeprazole 20mg Name, Restriction, Manner of esomeprazole 20 mg enteric tablet, 30 (8886Q) (029W) Gastric ulcer Peptic ulcer Treatment Phase: Initial treatment The therapy must be for initial treatment
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: Reference Number: CP.CPA.209 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 for important
Proton Pump Inhibitors Drug Class Prior Authorization Protocol
Proton Pump Inhibitors Drug Class Prior Authorization Protocol Line of Business: Medi-Cal P&T Approval Date: November 15, 2017 Effective Date: January 1, 2018 This policy has been developed through review
Omeprazole 10mg. Name, Restriction, Manner of administration and form OMEPRAZOLE omeprazole 10 mg enteric tablet, 30 (8332M) Max. Qty.
Omeprazole 10mg Name, Restriction, Manner of administration and form omeprazole 10 mg enteric tablet, 30 (8332M) Gastro-oesophageal reflux disease Name, Restriction, Manner of administration and form omeprazole
Texas Prior Authorization Program Clinical Criteria. This criteria was recommended for review by an MCO to ensure appropriate and safe utilization.
Texas Prior Authorization Program Clinical Criteria Drug/Drug Class This criteria was recommended for review by an MCO to ensure appropriate and safe utilization. Clinical Information Included in this
Long-Acting Opioid Analgesics
Market DC Long-Acting Opioid Analgesics Override(s) Prior Authorization Step Therapy Quantity Limit Approval Duration Initial request: 3 months Maintenance Therapy: Additional prior authorization required
Long-Acting Opioid Analgesics
Market DC Long-Acting Opioid Analgesics Override(s) Prior Authorization Step Therapy Quantity Limit Approval Duration Initial request: 3 months Maintenance Therapy: Additional prior authorization required
Rpts. GENERAL General Schedule (Code GE)
Pantoprazole 20mg Name, Restriction, Manner of administration and form Pantoprazole 20mg enteric tablet, 30 (8399C) Gastro-oesophageal reflux disease Name, Restriction, Manner of administration and form
Bioequivalence of Oral Generic Product with An Alternate Administration
Bioequivalence of Oral Generic Product with An Alternate Administration Minglei Cui, Ph.D. CDR, U.S. Public Health Service Division of Bioequivalence 2 Office of Generic Drugs CDER/FDA 1 Disclaimer & Disclosure
GA KS KY LA MD NJ NV NY TN TX WA Applicable X N/A N/A X N/A X X X X X X N/A N/A X *FHK- Florida Healthy Kids. ADHD Narcolepsy
Override(s) Prior Authorization ADHD Narcolepsy Approval Duration 1 year *Louisiana, Washington and Maryland Medicaid See State Specific Information Below Medications Atomoxetine: Strattera generic Clonidine
Rexulti (brexpiprazole)
Market DC Rexulti (brexpiprazole) Override(s) Approval Duration Prior Authorization 1 year Quantity Limit *Indiana see State Specific Mandates below *Maryland see State Specific Mandates below *Virginia
PPIs: Good or Bad? 1. Basics of PPIs. Gastric Acid Basics. Outline. Gastric Acid Basics. Proton Pump Inhibitors (PPI)
Outline Quick basics on Proton Pump Inhibitors (PPIs) PPIs: Good or Bad? What are potential risks of PPI therapy? How to approach your patients American Gastroenterology Association (AGA) recommendations
Nexium 24HR. Tools and information for you and your pharmacy team NOW OTC FOR FREQUENT HEARTBURN. Consumer Healthcare Pfizer Inc.
NOW OTC FOR FREQUENT HEARTBURN w e N Nexium 24HR P H A R M A S S I S T K I T Tools and information for you and your pharmacy team 2014 Pfizer Inc. NXM041468 05/14 Q: What is the indication for Nexium 24HR
TEXAS VENDOR DRUG PROGRAM
1 OF 12 Publication History o Revised March 2015; June 2013; November 2011; September 2011; September 20009; June 2009; December 2005; November 2003; October 2002. o Developed December 2001. Prepared by
Difference between omeprazole and omeprazole delayed release
Cari untuk: Cari Cari Difference between omeprazole and omeprazole delayed release 7-2-2018 Easy to read patient leaflet for Omeprazole Delayed-Release Capsules. Includes indications, proper use, special
Appropriate Use of Proton Pump Inhibitors (PPIs) Anderson Mabour, Pharm.D., BCPS Clinical Pharmacy Specialist
Appropriate Use of Proton Pump Inhibitors (PPIs) Anderson Mabour, Pharm.D., BCPS Clinical Pharmacy Specialist Disclosures I have no actual or potential conflicts of interest to report in relation to this
Xeljanz (tofacitinib), Xeljanz XR (tofacitinib extended-release)
Market DC Xeljanz (tofacitinib), Xeljanz XR (tofacitinib extended-release) Override(s) Prior Authorization Quantity Limit Medications Xeljanz (tofacitinib) Approval Duration 1 year Quantity Limit May be
Committee Approval Date: October 14, 2014 Next Review Date: October 2015
Medication Policy Manual Topic: esomeprazole-containing medications: - Nexium - Vimovo - esomeprazole strontium Policy No: dru039 Date of Origin: May 2001 Committee Approval Date: October 14, 2014 Next
Page 1 of 5 Official reprint from UpToDate www.uptodate.com 2017 UpToDate Patient education: Acid reflux (gastroesophageal reflux disease) in adults (The Basics) Written by the doctors and editors at UpToDate
Cyltezo (adalimumab-adbm) CG-DRUG-64, CG-DRUG-65
Market DC Cyltezo (adalimumab-adbm) CG-DRUG-64, CG-DRUG-65 Override(s) Prior Authorization Quantity Limit Medications Cyltezo (adalimumab-adbm) 40 mg/0.8 ml prefilled syringe #* ^ Approval Duration 1 year
Antipsychotic Medications Age and Step Therapy
Market DC *- Florida Healthy Kids Antipsychotic Medications Age and Step Therapy Override(s) Approval Duration Prior Authorization 1 year Quantity Limit *Virginia Medicaid See State Specific Mandates *Indiana
GA KS KY LA MD NJ NV NY TN TX WA Applicable X X N/A N/A X N/A X X X X X X N/A N/A NA *FHK- Florida Healthy Kids. Androgens
Androgens Override(s) Prior Authorization Quantity Limit Approval Duration Varies upon diagnosis Medication Strengths Quantity Limit Comments Generic Androgel 1% (2.5 g) packet 2 packets per day (testosterone
Antiepileptics. Medications Comment Quantity Limit Carbamazepine. May be subject Preferred to quantity limit Epitol
Market DC Antiepileptics Override(s) Approval Duration Prior Authorization 1 year Step Therapy Quantity Limit *Indiana Medicaid See State Specific Mandate below *Maryland Medicaid See State Specific Mandate
Drug Class Literature Scan: Proton Pump Inhibitors and Histamine-2 Receptor Antagonists
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
Opioid Analgesic/Opioid Combination Products
Market DC Opioid Analgesic/Opioid Combination Products Override(s) Quantity Limit Approval Duration 1 year Generic Name Brand Name Quantity Limit APAP/Caf/Dihydrocodeine 320.5mg/30mg/16mg APAP/Caf/Dihydrocodeine
Opioid Analgesic/Opioid Combination Products
Opioid Analgesic/Opioid Combination Products Override(s) Quantity Limit Approval Duration 1 year Generic Name Brand Name Quantity Limit 320.5mg/30mg/16mg 356.4mg/30mg/16mg 325mg/30mg/16mg Trezix (new formulation)
All Indiana Medicaid Prescribers and Pharmacy Providers
P R O V I D E R B U L L E T I N BT200148 NOVEMBER 28, 2001 To: All Indiana Medicaid Prescribers and Pharmacy Providers Subject: Note: The information in this bulletin regarding prior authorization payment
Developing Evidence-Based Best Practices for the Prescribing and Use of Proton Pump Inhibitors in Canada
Developing Evidence-Based Best Practices for the Prescribing and Use of Proton Pump Inhibitors in Canada Presented by: Sumeet R. Singh, COMPUS April 4, 2006 Background COMPUS Objective: To identify and
long term use Nexium Nexium
NEXIUM 40 mg Tablets - Summary of Product Characteristics (SPC) by AstraZeneca Pharmaceuticals (Ireland) DAC. Nexium 20mg, 40mg Tablets - Patient Information Leaflet (PIL) by AstraZeneca UK Limited. Information
Is it just a bellyache, or could it be an. infection? Please see accompanying BRIEF SUMMARY and enclosed Current Package Insert.
Is it just a bellyache, or could it be an infection? Please see accompanying BRIEF SUMMARY and enclosed Current Package Insert. I have a bellyache. As a parent or caregiver, anytime you hear your child
Triptan Quantity Limit
*- Florida Healthy Kids Triptan Quantity Limit Override(s) Quantity Limit Approval Duration 1 year Oral Tablets Axert (almotriptan) tablets Relpax (eletriptan) tablets 6 tablets (6.25 mg) 12 tablets (12.5
GASTROINTESTINAL AND ANTIEMETIC DRUGS. Submitted by: Shaema M. Ali
GASTROINTESTINAL AND ANTIEMETIC DRUGS Submitted by: Shaema M. Ali GASTROINTESTINAL AND ANTIEMETIC DRUGS by: Shaema M. Ali There are four common medical conditions involving the GI system 1) peptic ulcers
Humira (adalimumab) DRUG.00002
Humira (adalimumab) DRUG.00002 Override(s) Prior Authorization Quantity Limit Approval Duration 1 year Medications Humira 10 mg/0.2 ml syringe Humira pediatric Crohn s Disease starter pack 40 mg/0.8 ml
Treatment Options for GERD or Acid Reflux Disease A Review of the Research for Adults
Treatment Options for GERD or Acid Reflux Disease A Review of the Research for Adults hur till återvinna från prostataoperation Is This Information Right for Me? Yes, if: A doctor said that you have gastroesophageal
Gastroesophageal Reflux Disease (GERD)
Gastroesophageal Reflux Disease (GERD) Acid Reflux Acid reflux occurs when acid from the stomach moves backwards into the esophagus. Heartburn Heartburn is a symptom of acid reflux and GERD. It may feel
Relative Cost/Month. Less than $10. Loratadine Liquid* $10-$15 Cetirizine liquid 1mg/mL*
Allergy Chlorpheniramine Tablet* Diphenhydramine Tablet* Diphenhydramine Liquid* Loratadine Tablet* Cetirizine Tablet* Loratadine 10mg ODT* Less than $10 Loratadine Liquid* $10-$15 Cetirizine liquid 1mg/mL*
9/2/2015. Functions include:
No conflict of interest. Betsey Kim CRNP, CORLN Division of Otolaryngology The Children s Hospital of Philadelphia Functions include: Movement to inflamed areas Trapping substances Killing cells Antiparasitic
Heartburn, also referred to acid reflux, happens when stomach acid flows back (refluxes) into your esophagus.
WHILE almost everyone experiences mild heartburn from time to time and many individuals have some antacids or another medication on hand for its relief, talk to your doctor, if you have heartburn more
Administration of Proton Pump Inhibitors In Patients Requiring Enteral Nutrition
Administration of Proton Pump Inhibitors In Patients Requiring Enteral Nutrition Terri M. Wensel, PharmD Key words: proton pump inhibitor, enteral, administration INTRODUCTION Role of Proton Pump Inhibitors
Androgens. Medication Strengths Quantity Limit Comments Androderm (testosterone patch) 1% pump 2 pump bottles per Non-Preferred
Market DC Androgens Override(s) Prior Authorization Quantity Limit Approval Duration Varies upon diagnosis Medication Strengths Quantity Limit Comments Androderm (testosterone patch) AndroGel (testosterone
NEGATIVE ENDOSCOPY, What is the Diagnosis and Treatment?
NEGATIVE ENDOSCOPY, PPI REFRACTORY REFLUX: What is the Diagnosis and Treatment? Michael F. Vaezi, MD, PhD, MSc, FACG Professor of Medicine Clinical Director Division of Gastroenterology, Hepatology and
2018 Step Therapy FID 18088
2018 Step Therapy FID 18088 Step Therapy ANTIDEPRESSANTS, SEROTONIN/NOREPINEPHRINE REUPTAKE INHIBITORS LEON 2018 Desvenlafaxine Er Fetzima Fetzima Titration Pack Khedezla Paxil SUSP Pristiq Trintellix
National Digestive Diseases Information Clearinghouse
Gastritis National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is gastritis? Gastritis is a condition in which the stomach
Remicade (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
Policy Evaluation: Proton Pump Inhibitors (PPIs)
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
2017 AlohaCare Advantage Plus Formulary (HMO SNP) Drugs with Step Therapy Requirements
2017 AlohaCare Advantage Plus Formulary (HMO SNP) Drugs with Step Therapy Requirements AlohaCare requires you to first try one drug to treat your medical condition before we will cover another drug for
Infliximab/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
You May Be at Risk. You are currently taking a proton pump inhibitor (PPI):
PPI You are currently taking a proton pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Esomeprazole (Nexium ) Omeprazole (Losec, Olex ) Lansoprazole (Prevacid, Prevacid Fast Tab ) Pantoprazole sodium
II. Angiotensin Receptor Blockers (ARBs) Drug Class Review
DOD PHARMACY AND THERAPEUTICS COMMITTEE RECOMMENDATIONS INFORMATION FOR THE DOD BENEFICIARY ADVISORY PANEL I. Uniform Formulary Review Process Under 10 U.S.C. 1074g, as implemented by 32 C.F.R. 199.21,
Reflux of gastric contents, particularly acid, into the esophagus
Heartburn Reflux of gastric contents, particularly acid, into the esophagus Patient assessment with GERD 1-signs and symptoms The hallmark of typical symptom of GERD is heartburn (restrosternal),acid regurgitation,
Inflectra (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
EXECUTIVE SUMMARY. Uniform Formulary (UF) Beneficiary Advisory Panel (BAP) I. INTERIM MEETING: UF CLASS REVIEWS-PROTON PUMP INHIBITORS (PPis)
.. EXECUTIVE SUMMARY Uniform Formulary (UF) Beneficiary Advisory Panel (BAP) March 22, 2017 I. INTERIM MEETING: UF CLASS REVIEWS-PROTON PUMP INHIBITORS (PPis) PPis-UF Recommendation The P&T Committee recommended
Zegerid Capsules 20 mg and 40 mg Zegerid Powder for Oral Suspension 20 mg and 40 mg
Nasdaq: SNTS Safe Harbor This presentation may include forward-looking statements that are based on our management s beliefs and assumptions and on information currently available to our management. The
Pegylated Interferon Agents for Hepatitis C
Applicable X X X X X X X Pegylated Interferon Agents for Hepatitis C Override(s) Prior Authorization Quantity Limit Initial for Monotherapy or Combination with Ribavirin based on Genotype, Status, or Co-Infection
Proton Pump Inhibitors:
Proton Pump Inhibitors: How bad could they be? Andrea Flanagan, Pharm.D. Iowa City VA Medical Center PGY-1 Pharmacy Resident Objectives for Pharmacists At the end of this presentation PHARMACISTS should
Amjevita (adalimumab-atto)
*- Florida Healthy Kids Amjevita (adalimumab-atto) Override(s) Prior Authorization Quantity Limit Medications Amjevita 20 mg/0.4 ml prefilled syringe Amjevita (adalimumab-atto) 40 mg/0.8 ml 2 #* ^ prefilled
Growth Hormones DRUG.00009
Market DC Growth Hormones DRUG.00009 Override(s) Prior Authorization Quantity Limit Approval Duration WPM PAB Center: Thirty (30) day exception for recently expired (within the past 45 days) growth hormone
You May Be at Risk. You are currently taking a proton-pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Pantoprazole (Pantoloc, Panto IV )
You May Be at Risk. You are currently taking a proton-pump inhibitor (PPI): Dexlansoprazole (Dexilant ) Esomeprazole (Nexium ) Omeprazole (Losec, Olex ) Pantoprazole (Pantoloc, Panto IV ) Pantoprazole
The Medical Letter. on Drugs and Therapeutics. Volume 59 August 14, Important Copyright Message
The Medical Letter on Drugs and Therapeutics Volume 59 ISSUE ISSUE No. 1433 1527 Volume 56 IN THIS ISSUE Safety of Long-Term PPI Use...p 131 Important Copyright Message FORWARDING OR COPYING IS A VIOLATION
Prescription benefit updates Large group
Prescription benefit updates Large group Moda Health s prescription program is a pharmacy benefit that offers members a choice of safe and effective medication treatments. The program also helps you save
S. Sandberg-Lewis, ND, DHANP
Functional Gastroenterology Webinar One 6-28-13 S. Sandberg-Lewis, ND, DHANP Proton pump inhibitors- Effects on: secretion gastric mucosa food allergy bile reflux Barrett metaplasia and dysplasia esophageal
KK College of Nursing Peptic Ulcer Badil D ass Dass, Lecturer 25th July, 2011
KK College of Nursing Peptic Ulcer Badil Dass, Lecturer 25 th July, 2011 Objectives: By the end of this lecture, the students t will be able to: Define peptic pp ulcer Describe the etiology and pathology
Peptic ulcer disease Disorders of the esophagus
Peptic ulcer disease Disorders of the esophagus Peptic ulcer disease Burning epigastric pain Exacerbated by fasting Improved with meals Ulcer: disruption of mucosal integrity >5 mm in size, with depth
See Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Duexis) Reference Number: CP.PMN.120 Effective Date: 06.01.18 Last Review Date: 05.18 Line of Business: Commercial, Medicaid Revision Log See Important Reminder at the end of this policy
BLUE SHIELD OF CALIFORNIA JUNE 2016 PLUS DRUG FORMULARY CHANGES
BLUE SHIELD OF CALIFORNIA JUNE 2016 PLUS DRUG FORMULARY CHANGES Blue Shield is committed to covering safe, effective and affordable medications, so we regularly review and update our drug formularies.
Patient s awareness and education with respect to the safe and appropriate use of medicines with special attention to OTC medicines Regulatory view
s awareness and education with respect to the safe and appropriate use of medicines with special attention to OTC medicines Regulatory view EDQM Expert workshop: OTC medicines: The role of good classification
Heartburn and Stomach Acid Reflux
Using the Proton Pump Inhibitors to Treat Heartburn and Stomach Acid Reflux Comparing Effectiveness, Safety, and Price Contents 2: Our Recommendations 4: Welcome 6: What Are PPIs and Who Needs Them? 8:
SASKATCHEWAN REGISTERED NURSES ASSOCIATION
DEFINITION Reflux of gastric contents into the esophagus, which results in esophageal irritation or inflammation. IMMEDIATE CONSULTATION REQUIRED IN THE FOLLOWING SITUATIONS Dysphagia (solid food, progressive)
Philadelphia College of Osteopathic Medicine. Shawn P. Mahoney Philadelphia College of Osteopathic Medicine,
Philadelphia College of Osteopathic Medicine DigitalCommons@PCOM PCOM Physician Assistant Studies Student Scholarship Student Dissertations, Theses and Papers 2011 Is Esomeprazole (Nexium) More Effective
DEPARTMENT OF DEFENSE PHARMACY AND THERAPEUTICS COMMITTEE RECOMMENDATIONS INFORMATION FOR THE UNIFORM FORMULARY BENEFICIARY ADVISORY PANEL
DEPARTMENT OF DEFENSE PHARMACY AND THERAPEUTICS COMMITTEE RECOMMENDATIONS INFORMATION FOR THE UNIFORM FORMULARY BENEFICIARY ADVISORY PANEL I. UNIFORM FORMULARY REVIEW PROCESS Under 10 United States Code
235 60th Street, West New York, NJ T: (201) F: (201) Main Street, Hackensack, NJ T: (201)
235 60th Street, West New York, NJ 07093 T: (201) 854-4646 F: (201) 854-4647 810 Main Street, Hackensack, NJ 07601 T: (201) 488-0095 Barrett's Esophagus WHAT IS BARRETTT'S ESOPHAGUS? Barrett's esophagus
AstraZeneca and Daiichi Sankyo Launch Proton Pump Inhibitor Nexium 10 mg and 20 mg Granules for Suspension, Sachet, in Japan
AstraZeneca K.K. Daiichi Sankyo Co., Ltd. AstraZeneca and Daiichi Sankyo Launch Proton Pump Inhibitor Nexium 10 mg and 20 mg Granules for Suspension, Sachet, in Japan Osaka and Tokyo, Japan, April 18,
Management Challenges of the Gastrointestinal Tract (GIT) in Systemic Sclerosis (SSc) Presented by: Tracy M. Frech, MD, MS April 2016
Management Challenges of the Gastrointestinal Tract (GIT) in Systemic Sclerosis (SSc) Presented by: Tracy M. Frech, MD, MS April 2016 DISCLOSURES AND COPYRIGHT No financial or ethical conflicts of interest.
Radicava (edaravone)
*- Florida Healthy Kids Radicava (edaravone) Override(s) Prior Authorization Approval Duration 1 year Medications Radicava (edaravone) APPROVAL CRITERIA Requests for Radicava (edaravone) may be approved
High use of maintenance therapy after triple therapy regimes in Ireland
High use of maintenance therapy after triple therapy regimes in Ireland K Bennett, H O Connor, M Barry, C O Morain, J Feely Department of Pharmacology & Therapeutics Department of Gastroenterology Trinity
COMPUS OPTIMAL THERAPY REPORT. Supporting Informed Decisions. À l appui des décisions éclairées
OPTIMAL THERAPY REPORT COMPUS Volume 1, Issue 6 March 2007 Gap Analysis Report for the Prescribing and Use of Proton Pump Inhibitors (PPIs) Supporting Informed Decisions À l appui des décisions éclairées
A C A D E M I C D E TA I L I N G C H O O S I N G W I S E LY C O N F E R E N C E O C T 2 1, PA M M C L E A N - V E Y S E Y B S C P H A R M D R
PPI DEPRESCRIBING Canadian Deprescribing Network (CaDeN) goals are to: Reduce harm by raising awareness and cutting risky prescriptions for seniors by 50% by 2020. Promote health by ensuring access to
National Digestive Diseases Information Clearinghouse
Barrett s Esophagus National Digestive Diseases Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is Barrett s esophagus? Barrett s esophagus is
H o w d o e a c t. y o u r a c i
H o w d o e a c t p a n t o p r a b r e a k d y o u r a c i Pantoprazole Sodium is the sodium salt form of a substituted benzimidazole with proton pump inhibitor activity. Pantoprazole is a lipophilic,
Drug Class Review on Proton Pump Inhibitors
Drug Class Review on Proton Pump Inhibitors Final Report Update 4 July 2006 Original Report Date: November 2002 Update 1 Report Date: April 2003 Update 2 Report Date: April 2004 Update 3 Report Date: May
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION. lansoprazole delayed-release capsule (Manufacturer s standard)
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION Pr PREVACID lansoprazole delayed-release capsule (Manufacturer s standard) Read this carefully before you start taking
MAXIMUM ALLOWABLE COST POLICY CHANGES DECEMBER 5, 2016 QUESTIONS AND ANSWERS
MAXIMUM ALLOWABLE COST POLICY CHANGES DECEMBER 5, 2016 QUESTIONS AND ANSWERS The November 22, 2016 Mid-Year Financial Report referred to changes to drug coverage under the Saskatchewan Drug Plan. What
Review article: similarities and differences among delayed-release proton-pump inhibitor formulations
Aliment Pharmacol Ther 2005; 22 (Suppl. 3): 20 24. Review article: similarities and differences among delayed-release proton-pump inhibitor formulations J. R. HORN* & C. W. HOWDEN *Department of Pharmacy,
Health Care That Works:
Health Care That Works: Evidence- Washington Discuss: Evidence-, Reference Pricing and Variable Cost Sharing with Examples from Washington What are some Standard Principles of Evidence- Coverage? Consistency
High-Cost Drug Exclusions
Pharmacy Services High-Cost Exclusions The high cost medications listed below are excluded from coverage because lower cost similar alternatives are available. To help you get the best health benefit at
Relieving Frequent Heartburn Day Through Night
Page 1 Relieving Frequent Heartburn Day Through Night Relieving Frequent Heartburn Day Through Night David Metz, MD Professor of Medicine University of Pennsylvania School of Medicine Philadelphia, PA
POCKET HANDBOOK OF GI PHARMACOTHERAPEUTICS
POCKET HANDBOOK OF GI PHARMACOTHERAPEUTICS CLINICAL GASTROENTEROLOGY GEORGE Y. WU, SERIES EDITOR For other titles published in this series, go to www.springer.com/series/7672 POCKET HANDBOOK OF GI PHARMACOTHERAPEUTICS
Orencia (abatacept) DRUG.00040
Market DC Orencia (abatacept) DRUG.00040 Override(s) Prior Authorization Quantity Limit Approval Duration 1 year Medications Comments Quantity Limit Orencia (abatacept) - AGP, VA MCD only 4 vials per 28
Using Decision Support to Promote Value Based Prescribing
Using Decision Support to Promote Value Based Prescribing Session 218, February 14, 2019 Adam Szerencsy, DO Medical Director, Ambulatory Informatics NYU Langone Health 1 Conflict of Interest Adam Szerencsy,
https://www.uptodate.com/contents/acid-reflux-gastroesophageal-reflux-disease-in-adults-...
Page 1 of 10 Official reprint from UpToDate www.uptodate.com 2017 UpToDate The content on the UpToDate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment.
household cleaning products. As with many cleaning products, bleach can cause an allergy that. Find help for acid reflux ( GERD )
Your browser does not support script Thethroat consists from the pharynx and larynx. Picture 1. Structures in the throat (source: Wikipedia) The pharynx can be divided into: The nasal part (nasopharynx.
Proton Pump Inhibitors- Questions & Controversies. Farah Kablaoui, PharmD, BCPS, BCCCP
Proton Pump Inhibitors- Questions & Controversies Farah Kablaoui, PharmD, BCPS, BCCCP Disclosure Information Proton Pump Inhibitors: Questions & Controversies Farah Kablaoui I have no financial relationship
Latest Press Release. Inguinal buttock pain icd10
corp@stantec.com Latest Press Release Inguinal buttock pain icd10 S May 5, 2016. Can you take over-the-counter medicines while you're taking lansoprazole? What effect could it have on other medicines you're
Sovaldi (sofosbuvir)
Market DC Sovaldi (sofosbuvir) Override(s) Prior Authorization Quantity Limit Approval Duration Based on Genotype, Treatment status, Cirrhosis status, or Ribavirin Eligibility status **IN, SC, WA Medicaid