Praluent Medication

PROVIDER INFORMATION PATIENT INFORMATION - Cigna
CIGNA HealthCare - Medication Prior Authorization Form - Notice: Failure to complete this form in its entirety may result in delayed processing or an adverse determination for insufficient information. ... Return Document

Specialty Medication Request Form - Aetna
Specialty Medication Request Form Aetna Specialty Pharmacy ® 503 Sunport Lane Orlando, FL 32809 Customer Service: 1-866-782-ASRX (1-866-782-2779) ... Return Document

PRALUENTTM Initial U.S. Approval: 2015 ...
FULL PRESCRIBING INFORMATION . 1 INDICATIONS AND USAGE 1.1 Primary Hyperlipidemia PRALUENT is indicated as an adjunct to diet and maximally tolerated statin therapy for the ... Fetch Content

Specialty Drug Program Pharmacy Benefit Member Guide
Specialty Drug Program Walgreens Prime, and your medication will arrive right at your home. Just have your doctor fax your specialty medication prescription to AllianceRx Walgreens Prime at 1-866-515-1356, or complete the form in this Praluent ® (pa) Repatha™ ... Return Document

PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION ... - Sanofi
PRODUCT MONOGRAPH. INCLUDING PATIENT MEDICATION INFORMATION . Praluent (alirocumab) 75 mg solution for injection in a pre-filled pen PATIENT MEDICATION INFORMATION. PRALUENT ... Retrieve Document

Monoclonal Antibody Therapy - Wikipedia
Monoclonal antibody therapy can aid the immune system because the innate immune system responds to the environmental factors it encounters by discriminating against foreign cells Praluent: Sanofi Aventis: 7/24/2015: subcutaneous: fully human: PCSK9: Heterozygous familial hypercholesterolemia ... Read Article

Alirocumab (Praluent™) Injectable Medication Precertification ...
GR-69122 (2-16) Alirocumab (Praluent™) Injectable Medication Precertification Request Page 1 of 2 (All fields must be completed and legible for precertification review) ... Read Document

Medication Prior Authorization Request Form - Uhc
Title: Medication Prior Authorization Request Form Author: Miley, David T Subject: Medication Prior Authorization Request Form Created Date: 7/12/2016 2:48:44 PM ... Return Doc

CVS Specialty Pharmacy Distribution Drug List
The CVS Specialty Pharmacy Distribution Drug List is a guide of medications distributed through CVS Specialty. Our goal is to help make your life PRALUENT* REPATHA LYSOSOMAL STORAGE DISORDERS ALDURAZYME* CERDELGA* CEREZYME* CYSTAGON* ELAPRASE* FABRAZYME* KANUMA* LUMIZYME* ... Get Content Here

Prior Authorization Program Information*
Prior Authorization Program Information* (Información sobre el Programa Prior Authorization **) • Refer to member’s individual policy for inclusion in the PA program and medication guide for determination of Praluent, Repatha : Colony Stimulating Factors (Factores estimulantes de ... Read More

Praluent Injection: Uses, Dosage & Side Effects - Drugs.com
Praluent (alirocumab) is a PCSK9 inhibitor used to treat high cholesterol. Includes Praluent side effects, interactions and indications. ... Get Doc

First Enbrel Injection Using Autoinjector Pen - YouTube
First Enbrel injection using Autoinjector Pen Christopher Dresing. Loading Unsubscribe from (currently)! I'm often asked about my comments regarding taking a immunosuppressant biological medication while also having an HIV infection. I will post a new video soon ... View Video

HIGHLIGHTS OF PRESCRIBING INFORMATION If The LDL-C Response ...
These highlights do not include all the information needed to use PRALUENT safely and effectively. See full prescribing information for PRALUENT. ... Retrieve Full Source

OptumRx Prior Authorization Request Form
Prior Authorization Request Form . Member Information (required) Provider Information (required) Is This Medication a New Start? Yes No Directions for Use: Clinical Information (required) What is the patient’s diagnosis? ... Retrieve Content

Evolocumab - Wikipedia
Evolocumab (trade name Repatha) is a monoclonal antibody designed for the treatment of hyperlipidemia. Evolocumab is a fully human monoclonal antibody that inhibits proprotein convertase subtilisin/kexin type 9 (PCSK9). ... Read Article

Clinical Pharmacy Program Guidelines For Praluent 1.
Clinical Pharmacy Program Guidelines for Praluent . Program Prior Authorization Medication Praluent (alirocumab) Issue Date 5/2015 Pharmacy and Therapeutics Approval Date 11/2017 Effective Date 1/2018 . 1. Background: ... Read Document

Medication Request Form - MedImpact
Medication Request Form Attn: Prior Authorization Department 10181 Scripps Gateway Court San Diego, CA 92131 Medication Request Information (please complete each section of this form prior to transmittal): *Denotes Required Fields ... Read Full Source

Medicines Co.
Regeneron Pharmaceuticals Inc.'s plans to lower the price of its cholesterol-lowering medication Praluent sent shares of some of its rivals down in Monday premarket trade. Regeneron shares rose ... Read News

PRALUENT® (alirocumab)
PRALUENT® (alirocumab) ICD-10* Pocket Guide Your guide to ICD-10 coding for patients with hypercholesterolemia and atherosclerotic cardiovascular disease (ASCVD) who require additional LDL-C lowering ... Retrieve Doc

PRESCRIPTION DRUG PRIOR AUTHORIZATION OR STEP THERAPY ...
Medication/Therapy (Specify Drug Name and Dosage) Duration of Therapy (Specify Dates) Response/Reason for Failure/Allergy 2. List Diagnoses: ICD-10: 3. Required clinical information - Please provide all relevant clinical information to support a prior authorization or step therapy ... Retrieve Doc