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Home / Member / Medicare Members / MedSupp PA Oprelvekin (Neumega)

Oprelvekin (Neumega)

Covered Uses: All FDA-approved indications not otherwise excluded from Part D.
Exclusion Criteria:  
Required Medical Information: Patient has experienced severe thrombocytopenia (e.g., platelet count less than equal to 20,000/mcL) from previous chemotherapy OR for patient is considered to be at high risk for the development of severe thrombocytopenia.
Age Restrictions:  
Prescriber Restrictions:  
Coverage Duration: 12 months
Other Criteria:  
Excluded Drug Criteria:  

 

Last Modified on 08/05/2010
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