Oggolaanshaha Hore ee Daaweynta Xirfad Lahayn
Daawooyinka sida xirfadaysan loo maamulo ee hoos ku taxan waxay u baahan yihiin ogolaansho hore.
➔ Liiska Ogolaanshaha Hore ee Daawooyinka Xirfadaysan loo Maamulo
Daawooyinka loo taxay inay yihiin kuwo u baahan ogolaansho hore, CHPW waxay isticmaashaa go'aaminta caymiska qaranka (NCDs) iyo go'aamada caymiska maxaliga ah (LCDs) marka la heli karo. NCD-yada iyo LCD-yada waxaa aasaasay Xarumaha Medicare iyo Medicare (CMS) waxaana laga heli karaa mareegaha CMS ama Noridian, qandaraaslaha Adeegga Kharashka Medicare ee Washington. Haddii shuruudaha CMS aan la heli karin, tilmaamaha MCG ama Shuruudaha Daboolista ee CHPW ayaa loo isticmaali doonaa si loo go'aamiyo baahida caafimaad. Daawooyinka la is-maamulo ee u baahan ogolaansho hore, fadlan kala xidhiidh Express Scripts at 1-844-605-8168 ama isticmaali https://www.CoverMyMeds.com si loo bilaabo hawsha oggolaanshaha hore.
Daroogo kasta oo ku habboon shuruudaha soo socda ayaa sidoo kale u baahan oggolaansho hore:
- Dhammaan dawooyinka iyo adeegyada tijaabada ama baaritaanka.
- Dhammaan koodhadhka aan liis garayn oo leh lacag ka badan $ 250.
- Dhammaan cilmiga bayoolajiga.
Hoos waxaa ku yaal liiska daawooyinka si xirfadaysan loo maamulo oo u baahan oggolaansho hore. Fadlan ogow in tani aysan ka tarjumaynin liistada ugu dambeysa ee daawooyinka.
Guji si aad u ballaadhiso qayb kasta. Daawooyinka waxaa lagu taxay magaca guud, laakiin tixraacyada magaca calaamadaha ayaa la bixiyaa. Tusaale ahaan, haddii aad raadineyso Orencia, waxaad u baahan doontaa inaad ka raadsato magaceeda guud, abatacept, liiska halkii. Xaaladdan oo kale, waxaad u baahan doontaa inaad ballaariso cinwaanada AC, oo aan ahayn IO.
A, B, C
• Abatacept (sida Orencia)
• Adalimumab (sida Humira)
• Ado-trastuzumab emtansine (sida Kadcyla)
• Advate (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• Adynovate (factor VIII [antihemophilic factor, recombinant], pegylated) CHNW iyo MA
• Afamelanotide (Muuqaal)
• Afstyla (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• Agalsidase (sida Fabrazyme) CHNW iyo MA
• Alemtuzumab (sida Lemtrada)
• Alglucosidase alfa (sida Lumizyme) CHNW iyo MA
• Alpha-1 Proteinase Inhibitor aadanaha (sida Glassia)
• Alphanate (factor antihemophilic VIII/von Willebrand factor complex [aadmiga]) CHNW iyo MA
• Alphanine (factor IX [antihemophilic factor, purified, non-recombinant]) CHNW iyo MA
• Diidmo (sida Cinvanti)
• Alprolix (factor IX, fc fusion protein [recombinant]) CHNW iyo MA
• Aripiprazole lauroxil (sida Aristada)
• Asparaginase (sida Erwinaze)
• Atezolizumab (sida Tecentriq)
• Avelumab (sida Bavencio)
• AVXS-101/ Onasemnogene abeparvovec (sida Zolgensma) CHNW iyo MA
• Axicabtagene ciloleucel (sida Yescarta) CHNW iyo MA
• Bebulin (factor IX, complex) CHNW iyo MA
• Belantamab Mafodotin (sida Blenrep)
Beleodaq (belinostat)
• Belimumab (sida Benlysta)
• BeneFIX (factor IX [antihemophilic factor, recombinant]) CHNW iyo MA
• Benralizumab (sida Fasenra)
• Sunta botulinum (sida Botox, Myobloc, Dysport, Xeomin)
• Brentuximab vedotin (sida Adcetris)
Brexanolone (Zulresso)
• Buprenorphine la isku duro (sida Probuphine, Sublocade)
• Burosumab-twza (sida Crysvita) CHNW iyo MA
• C1 esterase inhibitor (aadmiga) (sida Berinert, Cinryze, Haegarda, Ruconest) CHNW iyo MA
• Cabazitaxel (sida Jevtana)
• Caplacizumab (Cablivi)
• Canakinumab (sida Ilaris)
• CEMIPLIMAB-RWLC (sida Libtayo)
Cerliponase alfa (sida Brineura) CHNW iyo MA
• Certolizumab pegol (sida Cimzia)
• Cetuximab (sida Erbitux)
• Coagadex (factor X [aadmiga]) CHNW iyo MA
• Collagenase - Clostridium Histolyticum (sida Xiaflex)
• Copanlisib (sida Caliqopa)
• Corifact (factor XIII [antihemophilic factor, human]) CHNW iyo MA
Keydka Corticotropin (sida Acthar)
Crizanlizumab-tmca (sida Adakveo) CHNW iyo MA
Khadka Ganacsiga (LOB) Halyeyga:
WAH = Washington Apple Health IMC
MA = Medicare Advantage
CHNW = Cascade Select
Haddii aan LOB lagu muujin dhinaca adeega, markaas Ogeysiinta ama Oggolaanshaha ayaa khuseeya dhammaan LOB-yada adeeggaas.
DH
• Darbepoetin alfa (sida Aranesp)
• Darzalex (daratumumab)
• Daunorubicin iyo Cytarabine Liposome (sida Vyxeos)
• Denosumab (sida Prolia, Xgeva)
• Durvalumab (sida Imfinzi)
• Durysta (bimatoprost)
• Ecallantide (sida Kalbitor) CHNW iyo MA
• Eculizumab (Soliris) CHNW iyo MA
• Edavarone (sida Radicava) CHNW iyo MA
• Elactate (factor VIII, fc fusion protein [recombinant]) CHNW iyo MA
• Elosulfase (sida Vimizim) CHNW iyo MA
• Emapalumab-lzsg (sida Gamifant) CHNW iyo MA
Enfortumab vedotin (Padcev)
• Epoetin alfa (sida Epogen, Procrit, Retacrit)
• Epoetin beta (sida Mircera)
• Esketamine (Spravato)
Epoprostenol (sida Flolan, Veletri, generics)
• Eptinezumab (Vyepti)
• Eterplirsen (sida Exondys 51)
• Qodobka VIII (factor antihemophilic, porcine) CHNW iyo MA
• Famux-trastuzumab deruxtecan (Enhertu)
• Feiba NF (isku-dhafka xinjirowga lidka-hortagga ah) CHNW iyo MA
• Filgrastim (sida Neupogen, Zarxio, Nivestym)
• Fosnetupitant iyo Palonosetron (sida Akynzeo)
• Fremanezumab-vrfm (sida Ajovy)
• Fulvestrant (sida Faslodex)
• Galsulfase (sida Naglazyme) CHNW iyo MA
• Gemtuzumab Ozogamicin (sida Mylotarg)
• Givosiran (sida Givlaari) CHNW iyo MA
• Golimumab (sida Simponi Aria)
• Golodirsen (sida Vyondys 53) CHNW iyo MA
• Goserelin Acetate (sida Zoladex)
• Siidaynta Granisetron (sida Sustol)
• Guselkumab (sida Tremfya)
• Helixate FS (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
Hemlibra (emicizumab) CHNW iyo MA
Hemofil M (factor VIII [antihemophilic factor, human]) CHNW iyo MA
• Histrelin Acetate (sida Supprelin LA, Vantas)
• Humate-P (von Willebrand factor complex) CHNW iyo MA
• Waxyaabaha ka soo jeeda Hyaluronic acid (sida Euflexxa, Gel-One, Synvisc)
• Hydroxyprogesterone caproate (sida Makena)
Khadka Ganacsiga (LOB) Halyeyga:
WAH = Washington Apple Health IMC
MA = Medicare Advantage
CHNW = Cascade Select
Haddii aan LOB lagu muujin dhinaca adeega, markaas Ogeysiinta ama Oggolaanshaha ayaa khuseeya dhammaan LOB-yada adeeggaas.
IO
• Ibalizumab (sida Trogarzo)
• Ibandronate (sida Boniva)
• Icatibant (sida Firazyr) CHNW iyo MA
• Idelvion (factor IX, fc fusion protein [recombinant]) CHNW iyo MA
Idursulfase (sida Elaprase) CHNW iyo MA
Iluvien (fluocinolone acetonide)
• Imiglucerase (sida Cerezyme)
• Immune Globulin Intravenous (IVIG) (sida Bivigam, Carimune NF Nanofiltered, Flebogamma DIF, Gammagard Liquid, Gammagard S/D <1 mcg/dL ee 5% xal, Gammaked, Gammaplex, Gamunex-C, Octagam, Privigen Liquid)
• Maaddada globulin ee jirka hoostiisa (sida Cuvitru, Hizentra)
• Inebilizumab (sida Uplizna) CHNW iyo MA
• Alaabada Infliximab ee faleebada IV (sida Remicade, Inflectra, Renflexis, Ixifi)
• Inotuzumab ozogam (sida Besponsa)
• Ipilimumab (sida Yervoy)
Isatuximab (Sarclisa)
Ixinity (factor IX [antihemophilic factor, recombinant]) CHNW iyo MA
• Jivi (factor VIII [antihemophilic factor, recombinant], pegylated-aucl) CHNW iyo MA
• Koate (factor VIII [antihemophilic factor, human]) CHNW iyo MA
Koate-DVI (factor VIII [antihemophilic factor, human]) CHNW iyo MA
• Kogenate (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• Kovaltry (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
Lanadelumab (sida Takhzyro) CHNW iyo MA
• Lanreotide (sida Somatuline Depot)
• Laronidase (sida Aldurazyme) CHNW iyo MA
Leuprolide Acetate (sida Eligard, Fensolvi, Lupron Deopt, Lupron Depot-Ped)
• Luspatercept-amt (sida Reblozyl) CHNW iyo MA
• Lutetium Lu 177 dotatate (sida Lutathera) CHNW iyo MA
• Mepolizumab (sida Nucala)
• Mogamulizumab (sida Poteligeo)
Mononine (factor IX [antihemophilic factor, purified, non-recombinant]) CHNW iyo MA
• Natalizumab (sida Tysabri)
• Nelarabine (sida Arranon)
• Nivolumab (sida Opdivo)
• Novoeight (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• NovoSeven RT (factor VIIa [antihemophilic factor, recombinant]) CHNW iyo MA
Nusinersen (sida Spinraza) CHNW iyo MA
Nuwiq (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• Obinutuzumab (sida Gazyva)
• Obizur (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• Ocrelizumab (sida Ocrevus)
• Foomka Octreotide-Depot ee Cirbadaha Muruqyada (sida Sandostatin)
• Omalizumab (sida Xolair)
• Oncaspar (pegaspargase)
Ozurdex (dexamethasone)
Khadka Ganacsiga (LOB) Halyeyga:
WAH = Washington Apple Health IMC
MA = Medicare Advantage
CHNW = Cascade Select
Haddii aan LOB lagu muujin dhinaca adeega, markaas Ogeysiinta ama Oggolaanshaha ayaa khuseeya dhammaan LOB-yada adeeggaas.
PS
• Paclitaxel borotiin-ku xiran (sida Abraxane)
• Paliperidone Palmitate (sida Invega Trinza, Invega Sustenna)
• Palivizumab (sida Synagis)
• Panitumumab (sida Vectibix)
• Wadaad (Onpattro)
• Pegfilgrastim (dhammaan alaabada)
• Pegloticase (sida Krystexxa)
• Pembrolizumab (sida Keytruda)
• Pemetrexed (sida Alimta)
• Pertuzumab (sida Perjeta)
• Pertuzumab / Trastuzumab / Hyaluronidase (Phesgo)
• Polatuzumab Vedotin-piiq (sida Polivy)
• Profilnine SD (factor IX, complex) CHNW iyo MA
• Provenge (sipuleucel-T)
• Ramucirumab (sida Cyramza)
• Ravulizumab (sida Ultomiris) CHNW iyo MA
• Rebinyn (factor IX [antihemophilic factor, recombinant], glycopegylated) CHNW iyo MA
• Recombinante (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• Reslizumab (sida Cinqair)
• Dib u fadhiista (fluocinolone acetonide)
• Rilonacept (sida Arcalyst)
• Wax soo saarka Rituximab (sida Rituxan, Rituxan hycela)
• Rixubis (factor IX [antihemophilic factor, recombinant]) CHNW iyo MA
• Rolapitant (sida Varubi)
• Romidepsin (sida Istodax)
• Romiplostim (sida Nplate)
• Govitecan Sacituzumab (Trodelvy)
• Sargramostim (sida Leukine)
Sebelipase (sida Kanuma) CHNW iyo MA
• Somatotropin (sida Genotropin, Humatrope, Norditropin, Serostim, Zorbtive)
Khadka Ganacsiga (LOB) Halyeyga:
WAH = Washington Apple Health IMC
MA = Medicare Advantage
CHNW = Cascade Select
Haddii aan LOB lagu muujin dhinaca adeega, markaas Ogeysiinta ama Oggolaanshaha ayaa khuseeya dhammaan LOB-yada adeeggaas.
TZ
• Tafasitamab (sida Monjuvi)
• Taliglucerase (sida Elelyso)
• Tbo-filgrastim (sida Granix)
• Teprotumumab (Tepezza) CHNW iyo MA
• Tildrakizumab (sida Ilumya)
• Tisagenlecleucel-t (sida Kymriah) CHNW iyo MA
• Tocilizumab (sida Actemra)
• Trastuzumab (sida Herceptin)
• Treprostinil (sida Remodulin)
• Tretten (factor XIII a-subunit [recombinant]) CHNW iyo MA
• Triamcinolone ace xr 1mg (sida Zilretta)
• Triptorelin Pamoate (sida Trelstar, Triptodur)
• Ustekinumab (sida Stelara)
• Vedolizumab (sida Entyvio)
• Velaglucerase (sida Vpriv)
• Vestronidase (sida Mepsevii)
• Vonvendi (von Willebrand factor [recombinant]) CHNW iyo MA
• Voretigene neparvovec-rzyl (sida Luxterna) CHNW iyo MA
• Wilate (von Willebrand factor complex [aadmiga]) CHNW iyo MA
Xyntha (factor VIII [antihemophilic factor, recombinant]) CHNW iyo MA
• Yutiq (fluocinolone acetonide)
• Ziv-aflibercept (sida Zaltrap)
Khadka Ganacsiga (LOB) Halyeyga:
WAH = Washington Apple Health IMC
MA = Medicare Advantage
CHNW = Cascade Select
Haddii aan LOB lagu muujin dhinaca adeega, markaas Ogeysiinta ama Oggolaanshaha ayaa khuseeya dhammaan LOB-yada adeeggaas.
Shuruudaha Caymiska Caafimaadka
Si aad u aragto Xeerarka Maareynta Isticmaalka Isticmaalka Daawooyinka Caafimaadka, fadlan booqo Bogga Hore ee Oggolaanshaha.
Formularies
Si aad u aragto hababka Medicare ee hadda, fadlan booqo our Caymiska Dawada Qoraalka .
Bixiyeyaasha waxaa looga baahan yahay inay ku dhammaystiraan tababar Khiyaano, Qashin, iyo Xadgudub 90 maalmood gudahood ah markay qandaraas la galaan CHPW iyo sanadkiiba intaas ka dib. Dhammaan shaqaalaha rugta caafimaadka - oo ay ku jiraan agaasimayaasha guud, hoggaamiyeyaasha sare, maareeyayaasha, shaqaalaha wadaadka / maamulka, dhakhaatiirta, iyo shaqaalaha kale ee kiliinikada - ayaa looga baahan yahay inay helaan tababarkan. Koorsooyinka tababarka waxaa laga heli karaa 
