Reclast Medical Policy

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Zoledronic Acid - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/500_599/0524.html

Zoledronic Acid 5 mg Injection1. Aetna considers zoledronic acid 5mg injection (e.g., Reclast) medically neces…Zoledronic acid 4 mg injection1. Aetna considers zoledronic acid 4 mg injection medically necessary f… See more

Zoledronic Acid (Zometa & Reclast )

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/z/zoledronic-acid-zometa-reclast.pdf

Reclast® used for prevention without a confirmed diagnosis of osteoporosis in postmenopausal women will not be covered because it is not considered medically …

LCD - Centers for Medicare & Medicaid Services

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33270&CptHcpcsCode=j0897

Reclast® used for prevention without a confirmed diagnosis of osteoporosis in postmenopausal women will not be covered because it is not considered medically …

Clinical Policy: Zoledronic Acid (Reclast, Zometa)

https://www.healthnet.com/static/general/unprotected/html/national/pa_guidelines/1321.pdf

It is the policy of health plans affiliated with Centene Corporation® that Reclast and Zometa are medically necessary when the following criteria are met: I. Initial Approval Criteria A. …

Effective Date: 05/09/2019 - BCBSM

https://www.bcbsm.com/content/dam/public/Providers/Documents/intravenous-bisphosphonates-policy.pdf

information. This policy may be updated and therefore subject to change. Effective Date: 05/09/2019 Intravenous Bisphosphonates Boniva® (ibandronate) Reclast® (zoledronic …

Reference ID: 4121283 - Food and Drug Administration

https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021817s027lbl.pdf

• Prior to administration of each dose of Reclast, obtain a serum creatinine and creatinine clearance should be calculated based on actual body weight using Cockcroft-Gault …

Reclast: Uses, Dosage & Side Effects - Drugs.com

https://www.drugs.com/reclast.html

What is Reclast? Reclast (sometimes called zoledronate) is a bisphosphonate medicine that alters bone formation and breakdown in the body. This can slow bone loss …

Does Medicare Cover Reclast?

https://www.medicare.org/articles/does-medicare-cover-reclast/

While many treatment options exist to combat osteoporosis, many Medicare recipients find relief from symptoms through Reclast. What is Reclast? Reclast (zoledronic acid …

Drug and Biologic Coverage Policy - Cigna

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/pharmacy/ip_0179_coveragepositioncriteria_romosozumab.pdf

Individual has had failure or inadequate response to at least ONE of the following oral OR intravenous bisphosphonate products (a, b, c, or d): Examples of failure/inadequate …

Policy Guidelines for Medicare Advantage Plans

https://www.uhcprovider.com/en/policies-protocols/medicare-advantage-policies/medicare-advantage-guidelines.html

The member specific benefit plan document identifies which services are covered, which are excluded, and which are subject to limitations. In the event of a conflict, the member …

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