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catamaran rx formulary

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Catamaran Ehb Standard Formulary

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Catamaran Ehb Standard Formulary

  • Additions and Deletions to the Drug Product List Prescription and Over-the-Counter Drug Product List 40TH EDITION Cumulative Supplement Number 09 : September 2020 ADDITIONS/DELETIONS FOR PRESCRIPTION DRUG PRODUCT LIST ACETAMINOPHEN; BUTALBITAL; CAFFEINE TABLET;ORAL BUTALBITAL, ACETAMINOPHEN AND CAFFEINE >A> AA STRIDES PHARMA 325MG;50MG;40MG A 203647 001 Sep 21, 2020 Sep NEWA ACETAMINOPHEN; CODEINE PHOSPHATE SOLUTION;ORAL ACETAMINOPHEN AND CODEINE PHOSPHATE >D> AA WOCKHARDT BIO AG 120MG/5ML;12MG/5ML A 087006 001 Jul 22, 1981 Sep DISC >A> @ 120MG/5ML;12MG/5ML A 087006 001 Jul 22, 1981 Sep DISC TABLET;ORAL ACETAMINOPHEN AND CODEINE PHOSPHATE >A> AA NOSTRUM LABS INC 300MG;15MG A 088627 001 Mar 06, 1985 Sep CAHN >A> AA 300MG;30MG A 088628 001 Mar 06, 1985 Sep CAHN >A> AA ! 300MG;60MG A 088629 001 Mar 06, 1985 Sep CAHN >D> AA TEVA 300MG;15MG A 088627 001 Mar 06, 1985 Sep CAHN >D> AA 300MG;30MG A 088628 001 Mar 06, 1985 Sep CAHN >D> AA ! 300MG;60MG A 088629 001 Mar 06, 1985 Sep CAHN ACETAMINOPHEN; HYDROCODONE BITARTRATE TABLET;ORAL HYDROCODONE BITARTRATE AND ACETAMINOPHEN >A> @ CEROVENE INC 325MG;5MG A 211690 001 Feb 07, 2020 Sep CAHN >A> @ 325MG;7.5MG A 211690 002 Feb 07, 2020 Sep CAHN >A> @ 325MG;10MG A 211690 003 Feb 07, 2020 Sep CAHN >D> AA VINTAGE PHARMS 300MG;5MG A 090415 001 Jan 24, 2011 Sep DISC >A> @ 300MG;5MG A 090415 001 Jan 24, 2011 Sep DISC >D> AA 300MG;7.5MG A 090415 002 Jan 24, 2011 Sep DISC >A> @ 300MG;7.5MG A 090415 002 Jan 24, 2011 Sep DISC >D> AA 300MG;10MG A 090415 003 Jan 24, 2011 Sep DISC >A> @ 300MG;10MG A 090415 003 Jan 24, 2011 Sep DISC >D> @ XIROMED 325MG;5MG A 211690 [Show full text]
  • (12) Patent Application Publication (10) Pub. No.: US 2008/0317805 A1 Mckay Et Al US 20080317805A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2008/0317805 A1 McKay et al. (43) Pub. Date: Dec. 25, 2008 (54) LOCALLY ADMINISTRATED LOW DOSES Publication Classification OF CORTICOSTEROIDS (51) Int. Cl. A6II 3/566 (2006.01) (76) Inventors: William F. McKay, Memphis, TN A6II 3/56 (2006.01) (US); John Myers Zanella, A6IR 9/00 (2006.01) Cordova, TN (US); Christopher M. A6IP 25/04 (2006.01) Hobot, Tonka Bay, MN (US) (52) U.S. Cl. .......... 424/422:514/169; 514/179; 514/180 (57) ABSTRACT Correspondence Address: This invention provides for using a locally delivered low dose Medtronic Spinal and Biologics of a corticosteroid to treat pain caused by any inflammatory Attn: Noreen Johnson - IP Legal Department disease including sciatica, herniated disc, Stenosis, mylopa 2600 Sofamor Danek Drive thy, low back pain, facet pain, osteoarthritis, rheumatoid Memphis, TN38132 (US) arthritis, osteolysis, tendonitis, carpal tunnel syndrome, or tarsal tunnel syndrome. More specifically, a locally delivered low dose of a corticosteroid can be released into the epidural (21) Appl. No.: 11/765,040 space, perineural space, or the foramenal space at or near the site of a patient's pain by a drug pump or a biodegradable drug (22) Filed: Jun. 19, 2007 depot. E Day 7 8 Day 14 El Day 21 3OO 2OO OO OO Control Dexamethasone DexamethasOne Dexamethasone Fuocinolone Fluocinolone Fuocinolone 2.0 ng/hr 1Ong/hr 50 ng/hr 0.0032ng/hr 0.016 ng/hr 0.08 ng/hr Patent Application Publication Dec. 25, 2008 Sheet 1 of 2 US 2008/0317805 A1 900 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 80.0 - 7OO – 6OO - 5OO - E Day 7 EDay 14 40.0 - : El Day 21 2OO - OO = OO – Dexamethasone Dexamethasone Dexamethasone Fuocinolone Fluocinolone Fuocinolone 2.0 ng/hr 1Ong/hr 50 ng/hr O.OO32ng/hr O.016 ng/hr 0.08 nghr Patent Application Publication Dec. [Show full text]
  • An Approach to the Patient with a Dry Mouth MedicineToday 2014; 15(4): 30-37 PEER REVIEWED FEATURE 2 CPD POINTS An approach to the patient with a dry mouth Key points • The subjective complaint of ELHAM AFLAKI MD; TAHEREH ERFANI MD; NICHOLAS MANOLIOS MB BS(Hons), PhD, MD, FRACP, FRCPA; xerostomia needs to be MARK SCHIFTER FFD, RCSI(Oral Med), FRACDS(Oral Med) differentiated from true salivary hypofunction. Dry mouth is a common and disabling problem. After exclusion of treatable • Salivary hypofunction can significantly reduce quality causes, treatment is symptomatic to prevent the consequences of salivary of life through its adverse hypofunction, such as tooth decay and infection of the oral mucosa. effects on taste, mastication, swallowing, cleansing of the erostomia, or the subjective feeling of neuropathic-induced orofacial dysaesthesia) mouth, killing of microbes a dry mouth, is a common complaint. and psychological and psychiatric disorders, and speech. It is often a consequence of salivary such as anxiety and depression. • Salivary hypofunction is a hypofunction (hyposalivation), in substantive risk factor for X which there is objective evidence of reduced NORMAL SALIVA PRODUCTION dental caries, oral mucosal salivary output or qualitative changes in saliva. Under normal physiological conditions, the disease and infection, Typically, patients complain of oral dryness salivary glands produce 1000 to 1500 mL of particularly oral candidiasis. only when salivary secretion is reduced by more saliva daily as an ultrafiltrate from the circu- • Patients should be than half.1 As saliva has a crucial role in taste lating plasma. Therefore, simple dehydration investigated for contributory perception, mastication, swallowing, cleansing reduces saliva production. The parotid glands and underlying causes, of the mouth, killing of microbes and speech, are the major source of serous saliva (60 to 65% which include drugs and abnormalities in saliva production can signif- of total saliva volume), producing the stimu- rheumatological diseases. [Show full text]
  • Anti-Migraine Agents Reference Number: OH.PHAR.PPA.34 Effective Date: 01.01.21 Last Review Date: 11.20 Line of Business: Medicaid Clinical Policy: Anti-Migraine Agents Reference Number: OH.PHAR.PPA.34 Effective Date: 01.01.21 Last Review Date: 11.20 Line of Business: Medicaid See Important Reminder at the end of this policy for important regulatory and legal information. Description • When using a preferred agent where applicable, the number of tablets/doses allowed per month will be restricted based on the manufacturer’s package insert and/or Buckeye Health plans quantity limits. CNS AGENTS: ANTI-MIGRAINE AGENTS – ACUTE MIGRANE TREATMENT NO PA REQUIRED “PREFERRED” STEP THERAPY REQUIRED PA REQUIRED “NON-PREFERRED” “PREFERRED” NARATRIPTAN (GENERIC OF AMERGE®) NURTEC™ ODT (rimegepant) ALMOTRIPTAN (generic of Axert®) RIZATRIPTAN TABLETS (GENERIC OF CAFERGOT® (ergotamine w/caffeine) MAXALT®) ELETRIPTAN (generic of Relpax®) RIZATRIPTAN ODT (GENERIC OF ERGOMAR® (ergotamine) MAXALT-MLT®) FROVA® (frovatriptan) SUMATRIPTAN TABLETS, NASAL SPRAY, MIGERGOT® (ergotamine w/caffeine) INJECTION (GENERIC OF MIGRANAL® (dihydroergotamine) IMITREX®) ONZETRA™ XSAIL™ (sumatriptan) REYVOW™ (lasmiditan) SUMAVEL DOSEPRO® (sumatriptan) TOSYMRA® (sumatriptan) TREXIMET® (sumatriptan/naproxen) UBRELVY™ (ubrogepant)* ZOLMITRIPTAN (generic of Zomig®) ZOLMITRIPTAN ODT (generic of Zomig ZMT®) ZOMIG® NASAL SPRAY (zolmitriptan) CNS AGENTS: ANTI-MIGRAINE AGENTS – CLUSTER HEADACHE TREATMENT NO PA REQUIRED “PREFERRED” PA REQUIRED “NON-PREFERRED” VERAPAMIL (Generic of Calan®) EMGALITY™ (galcanezumab) VERAPAMIL SR/ER (Generic of Calan SR®, Isoptin SR®, Verelan®) CNS AGENTS: ANTI-MIGRAINE AGENTS – PROPHYLAXIS TREATMENT NO PA REQUIRED “PREFERRED” STEP THERAPY REQUIRED PA REQUIRED “NON-PREFERRED” (Trials of at least 3 controller “PREFERRED” medications) Cardiovascular Agents: Beta-blockers AIMOVIG™ (erenumab-aooe) † EMGALITY™ (galcanezumab) CNS Agents: Anticonvulsants AJOVY™ (fremanezumab-vfrm) * CNS Agents: Serotonin-norepinephrine reuptake inhibitors CNS Agents: Tricyclic antidepressants †Initial Dose is limited to 70mg once monthly; may request dose increase if 70mg fails to provide adequate relief over two consecutive months. [Show full text]
  • WITHOUTUS010307409B2 (12 ) United States Patent ( 10 ) Patent No WITHOUTUS010307409B2 (12 ) United States Patent ( 10 ) Patent No. : US 10 , 307 ,409 B2 Chase et al. (45 ) Date of Patent: Jun . 4 , 2019 ( 54 ) MUSCARINIC COMBINATIONS AND THEIR (52 ) U . S . CI. USE FOR COMBATING CPC . .. .. A61K 31/ 4439 (2013 . 01 ) ; A61K 9 /0056 HYPOCHOLINERGIC DISORDERS OF THE (2013 . 01 ) ; A61K 9 / 7023 ( 2013 . 01 ) ; A61K CENTRAL NERVOUS SYSTEM 31 / 166 ( 2013 . 01 ) ; A61K 31 / 216 ( 2013 . 01 ) ; A61K 31 /4178 ( 2013 .01 ) ; A61K 31/ 439 (71 ) Applicant: Chase Pharmaceuticals Corporation , ( 2013 .01 ) ; A61K 31 /44 (2013 . 01 ) ; A61K Washington , DC (US ) 31/ 454 (2013 .01 ) ; A61K 31/ 4725 ( 2013 .01 ) ; A61K 31 /517 (2013 .01 ) ; A61K 45 / 06 ( 72 ) Inventors : Thomas N . Chase , Washington , DC (2013 . 01 ) (US ) ; Kathleen E . Clarence -Smith , ( 58 ) Field of Classification Search Washington , DC (US ) CPC .. A61K 31/ 167 ; A61K 31/ 216 ; A61K 31/ 439 ; A61K 31 /454 ; A61K 31 /4439 ; A61K (73 ) Assignee : Chase Pharmaceuticals Corporation , 31 /4175 ; A61K 31 /4725 Washington , DC (US ) See application file for complete search history. ( * ) Notice : Subject to any disclaimer, the term of this (56 ) References Cited patent is extended or adjusted under 35 U . S . C . 154 (b ) by 0 days . U . S . PATENT DOCUMENTS 5 ,534 ,520 A 7 / 1996 Fisher et al. ( 21) Appl . No. : 15 /260 , 996 2008 /0306103 Al 12 /2008 Fisher et al. 2011/ 0021503 A1* 1/ 2011 Chase . .. A61K 31/ 27 ( 22 ) Filed : Sep . 9 , 2016 514 / 215 2011/ 0071135 A1 * 3 / 2011 Chase . .. .. .. A61K 31/ 166 (65 ) Prior Publication Data 514 / 215 2011 /0245294 Al 10 / 2011 Paborji et al. [Show full text]
  • Anti-Inflammatory Effects of Amantadine and Memantine Journal of Personalized Medicine Communication Anti-Inflammatory Effects of Amantadine and Memantine: Possible Therapeutics for the Treatment of Covid-19? Félix Javier Jiménez-Jiménez 1,* , Hortensia Alonso-Navarro 1 , Elena García-Martín 2 and José A. G. Agúndez 2 1 Section of Neurology, Hospital Universitario del Sureste, Arganda del Rey, E-28500 Madrid, Spain; [email protected] 2 University Institute of Molecular Pathology Biomarkers, UNEx. ARADyAL Instituto de Salud Carlos III, E-10071 Cáceres, Spain; [email protected] (E.G.-M.); [email protected] (J.A.G.A.) * Correspondence: [email protected] ; Tel.: +34-636968395 Received: 2 October 2020; Accepted: 6 November 2020; Published: 9 November 2020 Abstract: We have reviewed current data on the anti-inflammatory effects of amantadine and memantine in clinical and in vivo models of inflammation, and we propose that these effects have potential interest for the treatment of the SARS-CoV-2 infection (COVID-19 disease). To that end, we performed a literature search using the PubMed Database from 1966 up to October 31 2020, crossing the terms “amantadine” and “memantine” with “inflammation” and “anti-inflammatory”. Amantadine and/or memantine have shown anti-inflammatory effects in chronic hepatitis C, in neuroinflammation induced by sepsis and by lipopolysaccharides, experimental models of multiple sclerosis, spinal cord injury, and respiratory diseases. Since the inflammatory response is one of the main pathogenetic mechanisms in the progression of the SARS-CoV-2 infection, anti-inflammatory effects of amantadine and memantine could be hypothetically useful in the treatment of this condition. This potential utility deserves further research. Keywords: amantadine; memantine; anti-inflammatory effects; SARS-Cov-2; COVID-19; therapy 1. [Show full text]
  • Brimonidine Tartrate; Brinzolamide Contains Nonbinding Recommendations Draft Guidance on Brimonidine Tartrate ; Brinzolamide This draft guidance, when finalized, will represent the current thinking of the Food and Drug Administration (FDA, or the Agency) on this topic. It does not establish any rights for any person and is not binding on FDA or the public. You can use an alternative approach if it satisfies the requirements of the applicable statutes and regulations. To discuss an alternative approach, contact the Office of Generic Drugs. Active Ingredient: Brimonidine tartrate; Brinzolamide Dosage Form; Route: Suspension/drops; ophthalmic Strength: 0.2%; 1% Recommended Studies: One study Type of study: Bioequivalence (BE) study with clinical endpoint Design: Randomized (1:1), double-masked, parallel, two-arm, in vivo Strength: 0.2%; 1% Subjects: Males and females with chronic open angle glaucoma or ocular hypertension in both eyes. Additional comments: Specific recommendations are provided below. ______________________________________________________________________________ Analytes to measure (in appropriate biological fluid): Not applicable Bioequivalence based on (95% CI): Clinical endpoint Additional comments regarding the BE study with clinical endpoint: 1. The Office of Generic Drugs (OGD) recommends conducting a BE study with a clinical endpoint in the treatment of open angle glaucoma and ocular hypertension comparing the test product to the reference listed drug (RLD), each applied as one drop in both eyes three times daily at approximately 8:00 a.m., 4:00 p.m., and 10:00 p.m. for 42 days (6 weeks). 2. Inclusion criteria (the sponsor may add additional criteria): a. Male or nonpregnant females aged at least 18 years with chronic open angle glaucoma or ocular hypertension in both eyes b. [Show full text]
  • (CD-P-PH/PHO) Report Classification/Justifica COMMITTEE OF EXPERTS ON THE CLASSIFICATION OF MEDICINES AS REGARDS THEIR SUPPLY (CD-P-PH/PHO) Report classification/justification of medicines belonging to the ATC group D07A (Corticosteroids, Plain) Table of Contents Page INTRODUCTION 4 DISCLAIMER 6 GLOSSARY OF TERMS USED IN THIS DOCUMENT 7 ACTIVE SUBSTANCES Methylprednisolone (ATC: D07AA01) 8 Hydrocortisone (ATC: D07AA02) 9 Prednisolone (ATC: D07AA03) 11 Clobetasone (ATC: D07AB01) 13 Hydrocortisone butyrate (ATC: D07AB02) 16 Flumetasone (ATC: D07AB03) 18 Fluocortin (ATC: D07AB04) 21 Fluperolone (ATC: D07AB05) 22 Fluorometholone (ATC: D07AB06) 23 Fluprednidene (ATC: D07AB07) 24 Desonide (ATC: D07AB08) 25 Triamcinolone (ATC: D07AB09) 27 Alclometasone (ATC: D07AB10) 29 Hydrocortisone buteprate (ATC: D07AB11) 31 Dexamethasone (ATC: D07AB19) 32 Clocortolone (ATC: D07AB21) 34 Combinations of Corticosteroids (ATC: D07AB30) 35 Betamethasone (ATC: D07AC01) 36 Fluclorolone (ATC: D07AC02) 39 Desoximetasone (ATC: D07AC03) 40 Fluocinolone Acetonide (ATC: D07AC04) 43 Fluocortolone (ATC: D07AC05) 46 2 Diflucortolone (ATC: D07AC06) 47 Fludroxycortide (ATC: D07AC07) 50 Fluocinonide (ATC: D07AC08) 51 Budesonide (ATC: D07AC09) 54 Diflorasone (ATC: D07AC10) 55 Amcinonide (ATC: D07AC11) 56 Halometasone (ATC: D07AC12) 57 Mometasone (ATC: D07AC13) 58 Methylprednisolone Aceponate (ATC: D07AC14) 62 Beclometasone (ATC: D07AC15) 65 Hydrocortisone Aceponate (ATC: D07AC16) 68 Fluticasone (ATC: D07AC17) 69 Prednicarbate (ATC: D07AC18) 73 Difluprednate (ATC: D07AC19) 76 Ulobetasol (ATC: D07AC21) 77 Clobetasol (ATC: D07AD01) 78 Halcinonide (ATC: D07AD02) 81 LIST OF AUTHORS 82 3 INTRODUCTION The availability of medicines with or without a medical prescription has implications on patient safety, accessibility of medicines to patients and responsible management of healthcare expenditure. The decision on prescription status and related supply conditions is a core competency of national health authorities. [Show full text]
  • 204760Orig1s000 CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 204760Orig1s000 OTHER REVIEW(S) MEMORANDUM DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE FOOD AND DRUG ADMINISTRATION CENTER FOR DRUG EVALUATION AND RESEARCH DATE: September 16, 2014 FROM: Julie Beitz, MD SUBJECT: Approval Action TO: NDA 204760 Movantik (naloxegol) tablets AstraZeneca Pharmaceuticals LP Summary Naloxegol is an antagonist of opioid binding at the muͲopioid receptor. When administered at the recommended dose levels, naloxegol functions as a peripherallyͲacting opioid receptor antagonist in tissues such as the gastrointestinal tract, thereby decreasing the constipating effects of opioids. Naloxegol is a PEGylated derivative of naloxone and a new molecular entity. Pegylation confers the following properties: naloxegol has reduced passive permeability across membranes compared to naloxone; naloxegol is a PͲglycoprotein (PͲgp) efflux transporter substrate; and naloxegol is orally bioavailable. The reduced passive permeability and PͲgp efflux transporter properties limit CNS entry of naloxegol compared to naloxone. This memo documents my concurrence with the Division of Gastroenterology and Inborn Errors Product’s recommendation for approval of NDA 204760 for Movantik (naloxegol) tablets for the treatment of opioidͲinduced constipation (OIC) in adult patients with chronic nonͲcancer pain. Discussions regarding product labeling, and postmarketing study requirements and commitments have been satisfactorily completed. There are no inspectional issues that preclude approval. Dosing The recommended dose of Movantik (naloxegol) tablets is 25 mg taken once daily in the morning on an empty stomach. Patients who do not tolerate this dose, may reduce the dose to 12.5 mg once daily. Maintenance laxatives should be discontinued prior to initiation of therapy with Movantik. [Show full text]
  • Design and Synthesis of Cyclic Analogs of the Kappa Opioid Receptor Antagonist Arodyn Design and synthesis of cyclic analogs of the kappa opioid receptor antagonist arodyn By © 2018 Solomon Aguta Gisemba Submitted to the graduate degree program in Medicinal Chemistry and the Graduate Faculty of the University of Kansas in partial fulfillment of the requirements for the degree of Doctor of Philosophy. Chair: Dr. Blake Peterson Co-Chair: Dr. Jane Aldrich Dr. Michael Rafferty Dr. Teruna Siahaan Dr. Thomas Tolbert Date Defended: 18 April 2018 The dissertation committee for Solomon Aguta Gisemba certifies that this is the approved version of the following dissertation: Design and synthesis of cyclic analogs of the kappa opioid receptor antagonist arodyn Chair: Dr. Blake Peterson Co-Chair: Dr. Jane Aldrich Date Approved: 10 June 2018 ii Abstract Opioid receptors are important therapeutic targets for mood disorders and pain. Kappa opioid receptor (KOR) antagonists have recently shown potential for treating drug addiction and 1,2,3 4 8 depression. Arodyn (Ac[Phe ,Arg ,D-Ala ]Dyn A(1-11)-NH2), an acetylated dynorphin A (Dyn A) analog, has demonstrated potent and selective KOR antagonism, but can be rapidly metabolized by proteases. Cyclization of arodyn could enhance metabolic stability and potentially stabilize the bioactive conformation to give potent and selective analogs. Accordingly, novel cyclization strategies utilizing ring closing metathesis (RCM) were pursued. However, side reactions involving olefin isomerization of O-allyl groups limited the scope of the RCM reactions, and their use to explore structure-activity relationships of aromatic residues. Here we developed synthetic methodology in a model dipeptide study to facilitate RCM involving Tyr(All) residues. Optimized conditions that included microwave heating and the use of isomerization suppressants were applied to the synthesis of cyclic arodyn analogs. [Show full text]
  • P2 Receptors in Cardiovascular Regulation and Disease Purinergic Signalling (2008) 4:1–20 DOI 10.1007/s11302-007-9078-7 REVIEW P2 receptors in cardiovascular regulation and disease David Erlinge & Geoffrey Burnstock Received: 3 May 2007 /Accepted: 22 August 2007 /Published online: 21 September 2007 # Springer Science + Business Media B.V. 2007 Abstract The role of ATP as an extracellular signalling Introduction molecule is now well established and evidence is accumulating that ATP and other nucleotides (ADP, UTP and UDP) play Ever since the first proposition of cell surface receptors for important roles in cardiovascular physiology and pathophysi- nucleotides [1, 2], it has become increasingly clear that, in ology, acting via P2X (ion channel) and P2Y (G protein- addition to functioning as an intracellular energy source, the coupled) receptors. In this article we consider the dual role of purines and pyrimidines ATP, adenosine diphosphate ATP in regulation of vascular tone, released as a cotransmitter (ADP), uridine triphosphate (UTP) and uridine diphosphate from sympathetic nerves or released in the vascular lumen in (UDP) can serve as important extracellular signalling response to changes in blood flow and hypoxia. Further, molecules [3, 4] acting on 13 P2X homo- and heteromul- purinergic long-term trophic and inflammatory signalling is timer ionotropic and 8 P2Y metabotropic receptor subtypes described in cell proliferation, differentiation, migration and [5, 6] (Table 1). To terminate signalling, ectonucleotidases death in angiogenesis, vascular remodelling, restenosis and are present in the circulation and on cell surfaces, rapidly atherosclerosis. The effects on haemostasis and cardiac degrading extracellular ATP into ADP, AMP and adenosine regulation is reviewed. The involvement of ATP in vascular [7, 8]. [Show full text]
  • Opioids in Palliative Care: Evidence Update May 2014 Opioids in palliative care Evidence Update May 2014 A summary of selected new evidence relevant to NICE clinical guideline 140 ‘Opioids in palliative care: safe and effective prescribing of strong opioids for pain in palliative care of adults’ (2012) Evidence Update 58 Contents Introduction ................................................................................................................................ 3 Key points .................................................................................................................................. 4 1 Commentary on new evidence .......................................................................................... 5 1.1 Communication .......................................................................................................... 5 1.2 Starting strong opioids – titrating the dose ................................................................ 5 1.3 First-line maintenance treatment ............................................................................... 6 1.4 First-line treatment if oral opioids are not suitable – transdermal patches ................ 6 1.5 First-line treatment if oral opioids are not suitable – subcutaneous delivery ............. 7 1.6 First-line treatment for breakthrough pain in patients who can take oral opioids ...... 7 1.7 Management of constipation ..................................................................................... 8 1.8 Management of nausea .......................................................................................... [Show full text]

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H7330Zing Healthall plans012312PARTD
H7360Wellcare by Health Netall plans610014MEDDPRIME
H7366ConcertoHealth PACE of Los Angelesall plans022188PSTMEDD
H7379CareFirst BlueCross BlueShield Medicare Advantageall plans004336MEDDADV
H7389Cigna Healthcareall plans017010CIMCARE
H7399Wellcare by Allwell002004336MEDDADV
H7399Wellcare by Allwell001610014MEDDPRIME
H7404UnitedHealthcareall plans6100979999
H7419Tufts Health Planall plans610011CTRXMEDD
H7445 all plans6100979999
H7464UnitedHealthcareall plans6100979999
H7469PACE Partners of Northeast Floridaall plans018091PRSMEDD
H7501CalOptima PACEall plans015574ASPROD1
H7511Great Plains Medicare Advantageall plans610011CTRXMEDD
H7512Ascension Complete001, 002, 003, 004, 803004336MEDDADV
H7512Ascension Complete801610014MEDDPRIME
H7518Wellcare005004336MEDDADV
H7518Wellcare001, 003, 004610014MEDDPRIME
H7522Medicare y Mucho Masall plans004336MEDDADV
H7524Excellus Health Plan Community Care LLCall plans003858MD
H7539 all plans012312PARTD
H7556 all plans004336MEDDADV
H7557Longevity Health Planall plans610014MEDDPRIME
H7559Molina Healthcare of Virginiaall plans01892708070000
H7598Group Health Cooperative of Eau Claireall plans022188PSTMEDD
H7605Devoted Healthall plans004336MEDDADV
H7607Clever Care Health Planall plans015574ASPROD1
H7617Humanaall plans01558103200000
H7619AtlantiCare LIFE Connectionall plans022188PSTMEDD
H7621Humanaall plans01558103200000
H7646PHP Medicareall plans610014MedDPrime
H7660LIFE Beaver and Lawrence Countiesall plans016110PACE
H7670Mass Advantageall plans01235308410000
H7678Molina Healthcare of Texas, Inc.all plans004336MEDDADV
H7680Prominence Health Planall plans015574ASPROD1
H7728 009020115ID
H7728 002, 005, 006, 010, 011, 012, 013020115IS
H7728 801022227IS
H7746MDwise Medicareall plans015574ASPROD1
H7778UnitedHealthcareall plans6100979999
H7779American Health Advantage of Tennesseeall plans012312PARTD
H7787Cigna Healthcareall plans017010CIMCARE
H7813iCircle Services of the Finger Lakes, Incall plans012312PARTD
H7831New Horizons PACE001022188PSTMEDC
H7831New Horizons PACE002022188PSTMEDD
H7833UnitedHealthcareall plans6100979999
H7844Molina Healthcare of Michiganall plans004336MEDDADV
H7849Cigna Healthcareall plans017010CIMCARE
H7855Brandman Centers for Senior Careall plans016110000000
H7917BlueCross BlueShield of Tennesseeall plans004336MEDDADV
H7925Wellcare by Allwell001, 003004336MEDDADV
H7925Wellcare by Allwell002610014MEDDPRIME
H7993Devoted Healthall plans004336MEDDADV
H8003Blue Cross Blue Shield of South Carolinaall plans021692CTRXMEDD
H8010Clover Healthall plans004336MEDDADV
H8014Clear Spring Healthall plans610011CTRXMEDD
H8019Medicaall plans610602NVTD
H8026Aetna Better Health Premier Planall plans610591MEDDADV
H8046Molina Healthcare of Illinoisall plans004336MEDDADV
H8064FirstMedicare Directall plans015789CTRXMEDD
H8067Provider Partners Health Plansall plans012312PartD
H8070UCareall plans610602NVTD
H8082WelbeHealthall plans022188PSTMEDD
H8087 all plans01558103200000
H8093Georgia Health Advantageall plans012312PARTD
H8095Wellmark Advantage Health Plan001, 801, 807004336MEDDADV
H8095Wellmark Advantage Health Plan802, 808610000FILLER
H8096Centra PACEall plans022188PSTMEDD
H8099Senior CommUnity Care of Northern Kentuckyall plans022188PSTMEDD
H8121Ascension Complete001, 002, 803004336MEDDADV
H8121Ascension Complete801610014MEDDPRIME
H8130 all plans004336MEDDADV
H8133Blue Cross and Blue Shield of Texasall plans011552MAPDTX1
H8142Baylor Scott & White Health Planall plans610011CTRXMEDD
H8145Humanaall plans01558103200000
H8166Highmark Blue Cross Blue Shieldall plans610014MEDDPRIME
H8173Devoted Healthall plans004336MEDDADV
H8176Molina Healthcare of South Carolinaall plans004336MEDDADV
H8181Blue Cross and Blue Shield of Nebraska001, 002610455ENEH8181
H8181Blue Cross and Blue Shield of Nebraska801, 803, 804610455ENEH8181G
H8189Wellcare by Allwellall plans610014MEDDPRIME
H8197Molina Healthcare of Texasall plans004336MEDDADV
H8211UnitedHealthcareall plans6100979999
H8213FIRST CHOICE VIP CARE PLUSall plans01958706510000
H8225Wellcare by Allwell001, 004, 005, 006, 007, 008, 009004336MEDDADV
H8225Wellcare by Allwell003610014MEDDPRIME
H8229 all plans015574ASPROD1
H8244Alignment Health Plan001, 002610455AHPPARTD
H8244Alignment Health Plan801, 802610455AHPPARTDG
H8293Clear Spring Health001, 002610011CTRXMEDD
H8293Clear Spring Health003610014MEDDPRIME
H8298Horizon Blue Cross Blue Shield of New Jerseyall plans016499DSNPPRI
H8330Tufts Health Planall plans610011CTRXMEDD
H8332Aetna Medicareall plans610502MEDDAET
H8343 all plans020115IS
H8379Priority Health Medicareall plans003858MD
H8384 all plans012312PARTD
H8385Sanford Health Planall plans610011CTRXMEDD
H8390CareSourceall plans610014MEDDPRIME
H8424SIOUXLAND PACE, INC.001022188PSTMEDC
H8424SIOUXLAND PACE, INC.002022188PSTMEDD
H8426Molina Healthcare of Nebraskaall plans004336MEDDADV
H8432Empire BlueCross BlueShield007, 008, 009, 010, 011, 015, 016, 027, 028, 034, 035, 038, 039, 040020115IS
H8432Empire BlueCross BlueShield801, 803, 804, 806022227IS
H8452CareSource MyCare Ohioall plans610014MEDDPRIME
H8457Longevity Health Planall plans610014MEDDPRIME
H8458Wellcare by Allwell001004336MEDDADV
H8458Wellcare by Allwell003610014MEDDPRIME
H8492Dignity Health Planall plans012312PARTD
H8547Blue Cross and Blue Shield of Illinoisall plans011552MAPDIL2
H8552Anthem Blue Cross Life and Health Insurance Co.020, 028, 029, 030020115IS
H8552Anthem Blue Cross Life and Health Insurance Co.801022227IS
H8553Wellcareall plans610014MEDDPRIME
H8554Blue Cross and Blue Shield of OK, TX001, 004011552MAPDTX2
H8554Blue Cross and Blue Shield of OK, TX003011552OKSNP1
H8578Health New England Medicare Advantage Plansall plans610593HNEMEDD
H8593 all plans020115IS
H8597Aetna Medicareall plans610502MEDDAET
H8604The Health Planall plans610014MEDDPrime
H8614Milford Wellness Village PACEall plans022188PSTMEDD
H8634Blue Cross and Blue Shield of IL, NM003, 004, 007, 008, 011, 012, 013, 014, 016, 017, 018, 019, 020, 021011552MAPDIL1
H8634Blue Cross and Blue Shield of IL, NM813, 815, 822, 823, 824011552MAPDILG1
H8634Blue Cross and Blue Shield of IL, NM002, 010, 015011552NMPARTD1
H8634Blue Cross and Blue Shield of IL, NM801, 803011552NMPARTDG
H8634Blue Cross and Blue Shield of IL, NM009011552NMSNP3
H8634Blue Cross and Blue Shield of IL, NM807, 809011552OKMAPDG
H8649Aetna Medicareall plans610502MEDDAET
H8655InnovAge Virginia PACE - Richmond and Peninsulaall plans022188PSTMEDD
H8711Wellcareall plans610014MEDDPRIME
H8748 all plans6100979999
H8764Aspire Healthall plans015574ASPROD1
H8768UnitedHealthcareall plans6100979999
H8769Ascension Living PACE Michiganall plans022188PSTMEDD
H8777Complete Senior Careall plans022188PSTMEDD
H8783UCareall plans610602NVTD
H8786Amerigroup STAR+PLUS MMPall plans020115IS
H8794Kaiser Permanente001, 005011172SCCMSS
H8794Kaiser Permanente002, 004011842NCCMSS
H8797Perennial Advantageall plans610602NVTD
H8800Total Senior Care, Inc.all plans022188PSTMEDD
H8845Molina Healthcare of Arizonaall plans01892708060000
H8849Amerigroupall plans020115IS
H8854CareFirst BlueCross BlueShield Medicare Advantage Dual Primeall plans004336MEDDADV
H8889Medicaall plans003858MD
H8894IEHP DualChoiceall plans015574ASPROD1
H8902SCAN Health Planall plans003858MD
H8908Humanaall plans01558103200000
H8928Fallon Healthall plans610011CTRXMEDD
H8947Peak Healthall plans610602NVTD
H8961 all plans004336MEDDADV
H8967Great Plains Medicare Advantageall plans610011CTRXMEDD
H8992PACE KCall plans022188PSTMEDD
H8998Trinity Health Plan Of New Englandall plans004336MEDDADV
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Catamaran Prior Prescription (Rx) Authorization Form

The Catamaran Prior Prescription Authorization Form allows beneficiaries of Catamaran health insurance to receive coverage for a prescription drug which is not on the formulary or not customarily prescribed as the primary treatment option. The prescriber should be the healthcare professional managing the patient’s symptoms and condition, and the form should be completed by this individual with a full justification for the request including all treatments attempted prior to completing the prior authorization form.

How to Write

Step 1  – Begin by downloading the form in Adobe PDF and opening it up on your computer. The form has been made fillable online, but can also be printed out and filled in by hand if preferred.

catamaran rx formulary

Catamaran Prior Authorization Form

Step 2  – The member information will be required first. Enter the patient’s first and last name, the plan they have with Catamaran, their member ID and their date of birth. Below this, the following drug information will be required:

  • Duration of therapy

catamaran rx formulary

Step 3  – The reasoning behind prescribing the drug should be provided in paragraph format. All pertinent medical information can be submitted in the fields below the “Medication/Failure Reason” paragraph.

catamaran rx formulary

Step 4  – Under “Physician Information,” submit the below data before printing the form off and providing your signature.

  • Physician name
  • Phone number
  • Action needed (Urgent or For Review)
  • Pharmacy Fax

Fax the completed form to: 1 (888) 852-1832 

catamaran rx formulary

IMAGES

  1. Catamaran Rx Formulary 2019

    catamaran rx formulary

  2. Catamaran Rxclaim

    catamaran rx formulary

  3. RX Formulary

    catamaran rx formulary

  4. Catamaran Prior Authorization Form

    catamaran rx formulary

  5. Catamaran Pharmacy Prior Authorization Form

    catamaran rx formulary

  6. What Is Catamaran RX? (An In-Depth Look)

    catamaran rx formulary

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COMMENTS

  1. PDF Catehbchem (A5-ctr) Catamaran Ehb Std Formulary Chemo

    A formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for their safety, cost, and effectiveness. Medications are listed by categories or classes and are placed into cost levels known as tiers. It includes both brand and generic prescription medications. To create the list, OptumRx ®

  2. Catamaran

    Summary. Catamaran offers a true alternative to the status quo in pharmacy benefit management. You don't have to choose between the scale and purchasing power of the largest providers and the flexibility and agility of smaller ones. We offer the best of both. At Catamaran, we put your individual needs - and those of your members - at the center ...

  3. PDF List of covered drugs

    on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories. FORMULARY DESIGN Catamaran has a formulary structure which includes most prescription drugs. The formulary structure features medications generics (with the lowest co-payments), preferred and non-preferred brand-name drugs.

  4. Catamaran Ehb Standard Formulary

    Our specialty pharmacy can provide most of your specialty medications along with helpful programs and services. Call 1-855-427-4682 and ask if you can have your prescriptions delivered right to your home or doctor's office. The formulary gives you choices so you and your doctor can decide your best course of treatment.

  5. PDF 2014 National Alpha Preferred Drug List

    The Catamaran National Alpha Drug List is a guide identifying preferred brand-name and formulary generic medicines within select therapeutic categories. The Drug List may not include all drugs covered by your prescription drug benefit. Many generic medicines are available and should be considered as the first line of prescribing if appropriate.

  6. PDF 2014 National Alpha Preferred Drug List

    %PDF-1.5 %âãÏÓ 612 0 obj > endobj 630 0 obj >/Filter/FlateDecode/ID[0CB7935378185E40ABF58CF2E2C6F80F>]/Index[612 34]/Info 611 0 R/Length 99/Prev 350077/Root 613 0 ...

  7. PDF List of covered drugs

    USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS Many health plans use the Catamaran formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer.

  8. PDF ampicillin -INFECTIVES

    NATIONAL FORMULARY DRUG LIST Claforan Alodox Convenience Kit Fortaz Doryx The Catamaran Drug List is a guide identifying preferred brand-name medicines within select therapeutic categories. The Drug List may not include all drugs covered by your prescription drug benefit. Generic medicines are available within

  9. PDF Harvard University Medicare Prescription Drug Plan (Employer PDP

    Harvard University Medicare Prescription Drug Plan (Employer PDP), administered by Catamaran 2015 Comprehensive Formulary (List of Covered Drugs) This formulary was updated on January 1, 2015 and is a complete list of drugs covered by our plan. For a complete listing or other questions, please contact: Catamaran Member Services Phone: 1-844-265 ...

  10. Optum Rx

    Optum Home Delivery Pharmacy. Convenient. Reliable. Ships free. Get your medications using Optum® Home Delivery and enjoy benefits like free standard shipping, 24/7 pharmacist access and more. Learn more.

  11. PDF OptumRx and Catamaran combine

    OptumRx and Catamaran combine to strengthen pharmacy benefit services OptumRx® and Catamaran® have joined forces to deliver enhanced pharmacy benefit services and a better health care experience for members. Your prescription claims will continue to be processed quickly and accurately, and your pharmacy benefits will not change. Below are

  12. OptumRx BIN 610279 Payer Sheet

    This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx (formerly Catamaran) Medicare Part D business. OptumRx BIN 610279 Payer Sheet

  13. PDF Innovative Software Solutions Inc (ISSI)

    %PDF-1.5 %âãÏÓ 12866 0 obj > endobj 12879 0 obj >/Filter/FlateDecode/ID[8BD6B8D6E959E74A976E374657A3E763>]/Index[12866 24]/Info 12865 0 R/Length 75/Prev 341792 ...

  14. PDF List of covered drugs

    USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS Many health plans use the Catamaran formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer.

  15. PDF OptumRx NCPDP Version D.0 Payer Sheet MEDICARE ONLY

    Help Desk Information: AARP® MedicareComplete® and UnitedHealthcare® MedicareComplete Plans: 877-889-6510 AARP® MedicareRx, United MedicareRx, UnitedHealthcare MedicareRx Plans: 877-889-6481 UnitedHealthcare® Medicaid Plans: 877-305-8952 All other Plans: 800-788-7871. Other versions supported: ONLY D.0.

  16. Catamaran Corporation

    Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4] ...

  17. Chart of 2024 BIN and PCN values for each Medicare Part D prescription

    The chart below is the fifth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6846 through H8998. Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and sixth page (H9001 - X0001) .

  18. Catamaran Prior Prescription (Rx) Authorization Form

    The Catamaran Prior Prescription Authorization Form allows beneficiaries of Catamaran health insurance to receive coverage for a prescription drug which is not on the formulary or not customarily prescribed as the primary treatment option. The prescriber should be the healthcare professional managing the patient's symptoms and condition, and the form should be completed by this individual ...

  19. PDF Cigna Healthcare Comprehensive Drug List

    The Formulary and pharmacy network may change at any time. For a complete list of Contract/PBP numbers this document applies to, ... You must generally use network pharmacies to use your prescription drug benefit. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2025, and from time to time during the ...

  20. PDF Catehbchem (A5-ctr) Catamaran Ehb Std Formulary Chemo

    What is a formulary? A formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for their safety, cost, and effectiveness. Medications are listed by categories or classes and are placed into cost levels known as tiers. It includes both brand and generic prescription medications.

  21. PDF DRUG LIST

    NATIONAL FORMULARY PREFERRED DRUG LIST piperacillin sodium/ tazobactam sodium gnp childrens ibuprofen gnp all day pain relief The Catamaran Preferred Drug List is a guide identifying preferred brand-name medicines within select therapeutic categories. The Preferred Drug List may not include all drugs covered by your prescription drug benefit.

  22. PDF OptumRx

    pharmacies, pharmacists, as well as pharmacy staff (collectively, Network Pharmacy Providers) which serve Members pursuant to the Administrator's, Catamaran's and its affiliates participating pharmacy provider network agreements, including, but not limited to the Pharmacy Network Agreement, Specialty Pharmacy Network Agreement and

  23. PDF PRIOR AUTHORIZATION FORM COMPLETE AND FAX TO CATAMARAN™ AT ...

    Microsoft Word - img387.import.doc. 1650 Spring Gate Lane Las Vegas, NV 89134 Tel: 888-869-4600. Please Note: Medical Necessity Prior Authorization may be utilized to override both formulary coverage and benefit design restrictions. They are issued at the full discretion of the benefit manager.