Great-West s Drug Prior Authorization

Size: px
Start display at page:

Download "Great-West s Drug Prior Authorization"

Transcription

1 Great-West s Drug Prior Authorization Great-West Life s prior authorization process is designed to provide an effective approach to managing claims for specific prescription drugs. Approval for coverage of certain prescription drugs is required in order to provide plan members with coverage for appropriate drug treatment, and keep your drug plan affordable. Below is a current listing of drugs that require prior authorization by Great-West, along with information about the conditions they are commonly used to treat. This list is provided for general information purposes only. Coverage may not be available under certain group benefits plans offered or administered by Great-West. Coverage for any of the drugs listed below depends on the terms of your group benefits plan. To obtain additional drug information, visit the Health & Wellness section of GroupNet by clicking Drug Library and searching for the drug name. Great-West Life prior authorization drug listing as of June Actemra is used for the treatment of moderate to severe rheumatoid arthritis. Adcirca is used for the treatment of idiopathic (primary) pulmonary arterial hypertension (PAH). Afinitor is used for the treatment of subependymal giant cell astrocytoma (SEGA) associated with tuberous sclerosis complex (TSC), and for the treatment of metastatic renal cell carcinoma (RCC) of clear cell morphology. Aldurazyme is used as an enzyme replacement therapy for the treatment of Hurler syndrome (also known as mucopolysaccharidosis MPS I), an extremely rare genetic enzyme deficiency disease. Hurler syndrome is a highly disabling and life-threatening disease. Alertec is used for the treatment of excessive daytime sleepiness due to sleep apnea and narcolepsy. Alimta is used for the treatment of patients with malignant pleural mesothelioma whose disease has spread and is unable to be removed with surgery, or who are otherwise not candidates for curative surgery. It is also used for the treatment of nonsmall cell lung cancer for patients who have received prior chemotherapy. Aubagio is used to reduce flare-ups in people with relapsing-remitting multiple sclerosis (MS). Avastin is used for the treatment of patients with metastatic colorectal cancer. It is also used for the treatment of patients with glioblastoma multiforme (GBM) after relapse or disease progression, following prior therapy. Benlysta is used to treat systemic lupus erythematosus (SLE), in addition to standard therapy for reducing disease activity in adult patients with active, autoantibody-positive. Bosulif is used to treat a type of blood cancer called Philadelphia chromosome positive chronic myelogenous leukemia (CML). Botox is a neuromuscular paralytic agent and is used to treat conditions that are caused by certain muscles going into spasm. Caprelsa is used for the treatment of patients with medullary thyroid cancer. Cerezyme is used for the treatment of long-term enzyme replacement therapy for adult and pediatric patients with a confirmed diagnosis of Type 1 Gaucher disease. Cimzia is used to treat moderate to severe active rheumatoid arthritis. Cosentyx is used to treat moderate to severe plaque psoriasis. Duodopa is used to treat Parkinson s disease in people who have tried other types of Parkinson s disease medication combinations but continue to have symptoms. Elaprase is the first drug used as an enzyme replacement therapy for the treatment of Hunter syndrome (also known as mucopolysaccharidosis MPS II), an extremely rare genetic enzyme deficiency disease. Hunter syndrome is a highly disabling and life-threatening disease.

2 Enbrel is used for the treatment of: moderately to severely active rheumatoid arthritis in adult patients moderately to severely active polyarticular-course juvenile rheumatoid arthritis in patients aged four to 17 psoriatic arthritis in adult patients ankylosing spondylitis chronic moderate to severe plaque psoriasis Entyvio is used to treat adults with moderately to severely active ulcerative colitis. Erivedge is used to treat adults with a type of skin cancer, called basal cell carcinoma, that has spread to other parts of the body or that has come back after surgery or cannot be treated with surgery or radiation. Esbriet is used to treat mild to moderate idiopathic pulmonary fibrosis (IPF). IPF is a long term-disease in which hard fibrous tissue continuously forms in the lungs, causing persistent cough, frequent lung infections and severe shortness of breath. Eylea is used to treat wet age-related macular degeneration. Exjade is used for the management of chronic iron overload in patients with transfusion-dependent anemias. Fabrazyme is used for long-term enzyme replacement therapy in patients with a confirmed diagnosis of Fabry disease. Fabry disease is an extremely rare genetic disorder that can lead to end-stage renal failure, cardiac disease, strokes and premature death. Fampyra is used to improve walking ability in adult patients with multiple sclerosis (MS) who have a walking disability. Flolan is used for the long term intravenous treatment of patients with primary pulmonary hypertension (PAH) and secondary hypertension (SPH) who did not respond to conventional therapy. Forteo is used for the treatment of post-menopausal women with severe osteoporosis who are at high risk of fracture or when other therapies are deemed inadequate. It is also used to increase bone mass in men with primary or hypogonadal severe osteoporosis when other therapies are deemed inadequate. Galexos is used to treat chronic hepatitis C infection. Genotropin is a man-made version of growth hormones and is used for growth hormone therapy in people who have growth Gilenya is the first and only oral treatment for patients with the relapsing-remitting form of multiple sclerosis (MS). Giotrif is used to treat non small cell lung cancer that has outside the lung or to other parts of the body. Gleevec is used for the treatment of chronic myeloid leukemia (CML), gastrointestinal stromal tumours (GIST) and lymphoblastic leukemia. Harvoni is used to treat chronic hepatitis C (CHC) virus genotype 1 infection in adults. Humatrope is a man-made version of growth hormones and is used for growth hormone therapy in people who have growth Humira is used for the treatment of: moderately to severely active rheumatoid arthritis moderately to severely active Crohn s disease Ilaris reduces the effects of a substance in the body that can cause inflammation. It is used to treat rare genetic conditions such as Familial Cold Autoinflammatory Syndrome (FCAS) and Muckle-Wells Syndrome (MWS). Ilaris is also used for the treatment of active Systemic Juvenile Idiopathic Arthritis (SJIA) in patients 2 years and older. Imbruvica is used to treat chronic lymphocytic leukemia (CLL) in people who have already received at least one other cancer medicine. It is also used to treat CLL in people with 17p deletion, even if they have never received prior treatment. Inflectra is used to treat Rheumatoid arthritis, Ankylosing spondylitis, Psoriatic arthritis, and Plaque psoriasis. Inlyta is used to treat kidney cancer (advanced renal cell carcinoma) in patients who have received at least one cancer treatment that did not work. Jakavi is used to treat myelofibrosis, a bone marrow disorder that affects the body s ability to produce blood cells. Jetrea is used to treat symptomatic vitreomacular adhesion. Symptomatic vitreomacular adhesion is an eye condition related to aging that may lead to blurring of vision or blindness. Juxtapid is indicated as an adjunct to a low-fat diet and other lipid-lowering treatment to manage cholesterol in adult patients with homozygous familial hypercholesterolemia (HoFH)(an inherited type of high cholesterol).

3 Kadcyla is used to treat a certain type of breast cancer that has spread to other parts of the body. It is usually given after other cancer medications have been tried without success. Kalydeco is used for the treatment of Cystic Fibrosis (CF) in patients age 6 years and older who have a certain mutation in their CF gene called the G551D mutation. Kineret is used for the treatment of moderate to severe rheumatoid arthritis. Kuvan is used in conjunction with a Phe-restricted diet to reduce blood phenylalanine (phe) levels in patients with hyperphenylalaninemia (HPA) due to responsive phenylketonuria (PKU). Lemtrada is used to reduce flare-ups in people with relapsing-remitting multiple sclerosis (MS). Lucentis is used to treat the wet form of age-related macular degeneration (AMD). It is also used to treat macular edema following retinal vein occlusion (RVO) and diabetic macular edema (DME). Mekinist is used to treat a certain type of metastatic melanoma (skin cancer that has spread to other parts of the body). Mozobil may help to increase stem cells in the blood that can be collected for autologous stem cell transplant (stem cell transplant using a patient s own stem cells) in patients with non-hodgkin s lymphoma (NHL) or multiple myeloma (MM). Myobloc is used for the treatment of cervical dystonia in order to reduce the severity of abnormal head position and neck pain associated with this condition. Myozyme is used for the treatment of patients with pompe disease. Pompe disease is a rare hereditary genetic disorder that is caused by a deficiency in the enzyme acid alpha-glucosidase or known as GAA deficiency. Nexavar is used for the treatment of locally advanced/metastatic kidney cancer in patients who have failed prior cytokine therapy or who are considered unsuitable for such therapy. Nplate is a man-made form of a protein used to treat low blood platelet (blood clotting cells) counts in adults with chronic immune (idiopathic) thrombocytopenia purpura (ITP-a bleeding condition caused by lack of platelets in the blood), when certain other medicines, or surgery to remove the spleen, have not been effective. Nutropin is a man-made version of growth hormones and is used for growth hormone therapy in people who have growth Omnitrope is a man-made version of growth hormones and is used for growth hormone therapy in people who have growth Opsumit is used to treat Pulmonary Arterial Hypertension. Orencia is used for the treatment of moderate to severe rheumatoid arthritis. Otezla is used to treat moderate to severe plaque psoriasis in adult patients who are candidates for phototherapy or systemic therapy. Ozurdex is used to treat macular edema (swelling of the back of the eye) and uveitis (swelling in the middle part of the eye). Perjeta is a cancer medication that interferes with the growth and spread of cancer cells in the body. It is used together with Herceptin and Taxotere to treat breast cancer that has spread to other parts of the body. Pomalyst is used to treat multiple myeloma. Prolastin is used to treat lung problems (emphysema) caused by a certain inherited disease (alpha-1-proteinase inhibitor deficiency). Protropin is a man-made version of growth hormones and is used for growth hormone therapy in people who have growth Remicade is used for the treatment of: moderately to severely active rheumatoid arthritis in adult patients moderately to severely active Crohn s disease fistulizing Crohn s disease in adult patients Remodulin is used for the long term subcutaneous treatment of patients with pulmonary arterial hypertension (PAH) who did not respond to conventional therapy. Replagal is used for long-term enzyme replacement therapy in patients with a confirmed diagnosis of Fabry disease. Fabry disease is an extremely rare genetic disorder that can lead to end-stage renal failure, cardiac disease, strokes and premature death. Retisert is an ophthalmic implant used to treat inflammation within the eye.

4 Revatio is used for the treatment of pulmonary arterial hypertension (PAH). Revatio contains the same chemical ingredient found in Viagra. Revlimid is used for the treatment of multiple myeloma. It is also used for patients with transfusion-dependent anemia. Revolade is an adult chronic immune (idiopathic) thrombocytopenic purpura (ITP) to increase platelet counts in spenectomized patients who are refractory to first-line treatments. Rituxan is used for the treatment of patients with CD20 positive, B-cell non-hodgkin s lymphoma and CD20 positive, diffuse large B-cell non-hodgkin s lymphoma. It is also used for the treatment of moderate to severe active rheumatoid arthritis. Saizen is a man-made version of growth hormones and is used for growth hormone therapy in people who have growth Samsca is used for the treatment of clinically important, non-hypovolemic hyponatremia. Sativex is a cannabis-based medicine that is used as adjunctive treatment for the symptomatic relief of neuropathic pain in patients with multiple sclerosis (MS). Serostim is a man-made growth hormone that is used to manage HIV wasting (a metabolic disorder resulting in severe weight loss seen in people with HIV). Signifor is used to treat Cushing s disease which is a relatively rare hormonal disorder caused by prolonged exposure of the body s tissues to high levels of the hormone cortisol. Simponi is used to treat moderate to severe active rheumatoid arthritis, active psoriatic arthritis and active ankylosing spondylitits. Soliris is the first treatment for patients with paroxysmal nocturnal hemoglobinuria (PNH) to reduce haemolysis. Somavert is indicated for the treatment of acromegaly in patients who have had an inadequate response to surgery, and/or radiation therapy, and other medical therapies, or for whom these therapies are not appropriate. Sovaldi is used to treat chronic hepatitis C infection. Sprycel is used for the treatment of patients with chronic, accelerated, or blast phase chronic myeloid leukemia (CML). Stelara is used to treat adults with moderate to severe chronic plaque psoriasis who are candidates for systemic therapy or phototherapy. Stivarga is used to treat colorectal cancer. It is also used to treat a rare type of tumor that can affect the esophagus, stomach, or intestines. Sutent is used for the treatment of patients with gastrointestinal stromal tumour (GIST). It is also used for the treatment of metastatic renal cell cancer. Tafinlar is used to treat a certain type of metastatic melanoma (skin cancer that has spread to other parts of the body). Tasigna is used to treat Philadelphia chromosome positive chronic myeloid leukemia (Ph+CML). Tecfidera is used to treat patients with relapsing forms of Multiple Sclerosis (MS). Temodal is used for the treatment of adult patients with Grade III or IV primary tumor of the brain. Tracleer is used for the treatment of pulmonary arterial hypertension (PAH). Tysabri is indicated as a monotherapy for the treatment of patients with the relapsing-remitting form of multiple sclerosis to reduce the frequency of clinical relapses, to decrease the number and volume of active brain lesions identified on MRI scans and to delay the progression of physical disability. Volibris is used for the treatment of primary pulmonary arterial hypertension and pulmonary hypertension associated with connective tissue disease in patients who have not responded to conventional therapy. Votrient is used for the treatment of patients with metastatic renal cell (clear cell) carcinoma (mrcc). Vpriv is used for the treatment of long-term enzyme replacement therapy for adult and pediatric patients with a confirmed diagnosis of Type 1 Gaucherdisease. Xalkori is used to treat non-small cell lung cancer (NSCLC) that is advanced or spread to other parts of the body and is caused by a defect in a gene called ALK (anaplastic lymphoma kinase). Xenical is used for the treatment of obesity and management of Type 2 diabetes. Xeljanz is indicated for reducing the signs and symptoms of rheumatoid arthritis (RA). Xeomin is used for the treatment of muscle or nerve disorders, similar to Botox.

5 Xolair is used to treat adults and adolescents (12 years and older) with moderate to severe persistent asthma. Xtandi is used to treat prostate cancer. Xyrem is an oral solution used for the treatment of cataplexy in patients with narcolepsy. Yervoy is used to treat unresectable or metastatic melanoma in patients who have failed or do not tolerate other systemic therapy for advanced melanoma. Zavesca is used for the treatment of adult patients with mild to moderate Type 1 Gaucher disease for whom enzyme replacement therapy is not a therapeutic option. Zelboraf is used to treat a type of skin cancer called melanoma, that has spread to other parts of the body or cannot be removed by surgery, and that has a certain type of abnormal BRAF gene. Zolinza is used for the treatment of cutaneous manifestations in patients with advanced cutaneous T-cell lymphoma (CTCL). Zytiga is used for the treatment of patients with castration resistant metastic prostate cancer. For any of the drugs currently requiring prior authorization, plan members must complete the appropriate section(s) of a Request for Information form with their prescribing doctor, and submit the form to Great-West to have their claim considered for reimbursement. Plan members can find these forms in the Client Services Group Benefits Plan Members Forms section of the Great-West website at A brochure on Great-West s prior authorization process is also available for distribution to plan members. For more information, please contact your Great-West group benefits representative.

Co-pay assistance organizations offering assistance

Co-pay assistance organizations offering assistance Acromegaly Acute Exacerbations of Multiple Sclerosis Acute Porphyrias Advanced Idiopathic Parkinson' s Disease Age-Related Macular Degeneration www.theassistancefund.org Alcohol Dependence Alpha-1 Antitrypsin

More information

The Patient Access Network (PAN) Foundation Eligibility Diseases Targeted Contact Information

The Patient Access Network (PAN) Foundation Eligibility Diseases Targeted Contact Information The Patient Access Network (PAN) Foundation is an independent non-profit organization that provides assistance to underinsured patients for their out-of-pocket expenses through more than 40 disease-specific

More information

Immune Modulating Drugs Prior Authorization Request Form

Immune Modulating Drugs Prior Authorization Request Form Patient: HPHC member ID #: Requesting provider: Phone: Servicing provider: Diagnosis: Contact for questions (name and phone #): Projected start and end date for requested Requesting provider NPI: Fax:

More information

drugs in development CuraScript Specialty Pharmacy Management Guide & Trend Report

drugs in development CuraScript Specialty Pharmacy Management Guide & Trend Report CuraScript Specialty Pharmacy Management Guide & Trend Report Drugs in Development There are currently more than 324 drugs in development for nearly 150 disease states. These potential new medications

More information

STAT Bulletin. Drug Therapy Guideline Updates. May 11, 2012 Volume: 18 Issue: 12

STAT Bulletin. Drug Therapy Guideline Updates. May 11, 2012 Volume: 18 Issue: 12 STAT Bulletin May 11, 2012 Volume: 18 Issue: 12 To: All primary care physicians and specialists Contracts Affected: All Lines of Business Drug Therapy Guideline Updates Why you re receiving this Stat What

More information

ACUTE MYELOID LEUKEMIA (AML),

ACUTE MYELOID LEUKEMIA (AML), 1 ACUTE MYELOID LEUKEMIA (AML), ALSO KNOWN AS ACUTE MYELOGENOUS LEUKEMIA WHAT IS CANCER? The body is made up of hundreds of millions of living cells. Normal body cells grow, divide, and die in an orderly

More information

Estimated New Cases of Leukemia, Lymphoma, Myeloma 2014

Estimated New Cases of Leukemia, Lymphoma, Myeloma 2014 ABOUT BLOOD CANCERS Leukemia, Hodgkin lymphoma (HL), non-hodgkin lymphoma (NHL), myeloma, myelodysplastic syndromes (MDS) and myeloproliferative neoplasms (MPNs) are types of cancer that can affect the

More information

MEDICATION GUIDE REMICADE (Rem-eh-kaid) (infliximab) Read the Medication Guide that comes with REMICADE before you receive the first treatment, and

MEDICATION GUIDE REMICADE (Rem-eh-kaid) (infliximab) Read the Medication Guide that comes with REMICADE before you receive the first treatment, and MEDICATION GUIDE REMICADE (Rem-eh-kaid) (infliximab) Read the Medication Guide that comes with REMICADE before you receive the first treatment, and before each time you get a treatment of REMICADE. This

More information

A Source of Hard- to- Find Pa3ents and Caregivers For Researchers. Peter Ziedins Peter.ziedins@mpiresearch.ca 514-426- 9295 www.rarepa;entvoice.

A Source of Hard- to- Find Pa3ents and Caregivers For Researchers. Peter Ziedins Peter.ziedins@mpiresearch.ca 514-426- 9295 www.rarepa;entvoice. A Source of Hard- to- Find Pa3ents and Caregivers For Researchers Peter Ziedins Peter.ziedins@mpiresearch.ca 514-426- 9295 www.rarepa;entvoice.com About RPV Rare Pa3ent Voice, LLC was formed to provide

More information

Rheumatic Diseases, Psoriasis, and Crohn s Disease

Rheumatic Diseases, Psoriasis, and Crohn s Disease Rheumatic Diseases, Psoriasis, and Crohn s Disease What does this handout cover? This handout has information about rheumatic disease, psoriasis, and Crohn s disease. It also has information on how these

More information

Closed Sub-TOI: L08.000 Life - Other Co Tr Num: BANRD-01 State Status: Approved-Closed

Closed Sub-TOI: L08.000 Life - Other Co Tr Num: BANRD-01 State Status: Approved-Closed Project Name/Number: / 01 Filing at a Glance Company: Banner Life Insurance Company SERFF Tr Num: FNBL-126416557 State: Arkansas TOI: L08 Life - Other SERFF Status: Closed-Approved- State Tr Num: 44441

More information

Update in Hematology Oncology Targeted Therapies. Mark Holguin

Update in Hematology Oncology Targeted Therapies. Mark Holguin Update in Hematology Oncology Targeted Therapies Mark Holguin 25 years ago Why I chose oncology People How to help people with possibly the most difficult thing they may have to deal with Science Turning

More information

MEDICATION GUIDE. ACTEMRA (AC-TEM-RA) (tocilizumab) Solution for Intravenous Infusion

MEDICATION GUIDE. ACTEMRA (AC-TEM-RA) (tocilizumab) Solution for Intravenous Infusion MEDICATION GUIDE ACTEMRA (AC-TEM-RA) (tocilizumab) Solution for Intravenous Infusion ACTEMRA (AC-TEM-RA) (tocilizumab) Injection, Solution for Subcutaneous Administration Read this Medication Guide before

More information

PATIENT SERVICES INCORPORATED Making the Gift of Health A Lifetime Benefit Illnesses and Conditions

PATIENT SERVICES INCORPORATED Making the Gift of Health A Lifetime Benefit Illnesses and Conditions Illnesses and Conditions Please note that the list of disease areas below is regularly updated. It may change as Patient Services adds services or support for newly funded programs. Likewise, the list

More information

Brain Cancer. This reference summary will help you understand how brain tumors are diagnosed and what options are available to treat them.

Brain Cancer. This reference summary will help you understand how brain tumors are diagnosed and what options are available to treat them. Brain Cancer Introduction Brain tumors are not rare. Thousands of people are diagnosed every year with tumors of the brain and the rest of the nervous system. The diagnosis and treatment of brain tumors

More information

Biologic Treatments for Rheumatoid Arthritis

Biologic Treatments for Rheumatoid Arthritis Biologic Treatments Rheumatoid Arthritis (also known as cytokine inhibitors, TNF inhibitors, IL 1 inhibitor, or Biologic Response Modifiers) Description Biologics are new class of drugs that have been

More information

Autoimmune Diseases More common than you think Randall Stevens, MD

Autoimmune Diseases More common than you think Randall Stevens, MD Autoimmune Diseases More common than you think Randall Stevens, MD picture placeholder Autoimmune Diseases More than 60 different disorders Autoimmune disorders (AID) diseases caused by the immune system

More information

IMMUNOTHERAPY FOR THE TREATMENT OF LUNG CANCER

IMMUNOTHERAPY FOR THE TREATMENT OF LUNG CANCER IMMUNOTHERAPY FOR THE TREATMENT OF LUNG CANCER BOOKLET SUPPLEMENT Immunotherapy Immunotherapy is one of the most exciting new approaches for treating several types of cancer, including lung cancer. Immunotherapies

More information

Do I need a physician referral? Yes, we see patients on referral from a health care provider.

Do I need a physician referral? Yes, we see patients on referral from a health care provider. FAQS FOR OFFICE POLICIES How do I get an appointment? New appointments are made by physician referral only. Your referring health care provided will call for the appointment for you. What do I need to

More information

MOH Policy for dispensing NEOPLASTIC DISEASES DRUGS

MOH Policy for dispensing NEOPLASTIC DISEASES DRUGS MOH Policy for dispensing NEOPLASTIC DISEASES DRUGS All prescriptions for antineoplastic drugs must be accompanied by the MOH special form. All the attachments mentioned on this form shall be submitted

More information

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available.

Thymus Cancer. This reference summary will help you better understand what thymus cancer is and what treatment options are available. Thymus Cancer Introduction Thymus cancer is a rare cancer. It starts in the small organ that lies in the upper chest under the breastbone. The thymus makes white blood cells that protect the body against

More information

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia INTRODUCTION Thrombophilia (Hypercoagulability) is a condition in which a person forms blood clots more than normal. Blood clots may occur in the arms or legs (e.g., deep vein thrombosis DVT), the lungs

More information

Understanding specialty drugs

Understanding specialty drugs Group Benefits Understanding specialty drugs What your pharmaceutical benefits plan may look like over the next decade Between 2011 and 2014, the percentage of total drug spend represented by specialty

More information

Rheumatoid Arthritis Information

Rheumatoid Arthritis Information Rheumatoid Arthritis Information Definition Rheumatoid arthritis (RA) is a long-term disease that leads to inflammation of the joints and surrounding tissues. It can also affect other organs. Alternative

More information

What is New in Oncology. Michael J Messino, MD Cancer Care of WNC An affiliate of Mission hospitals

What is New in Oncology. Michael J Messino, MD Cancer Care of WNC An affiliate of Mission hospitals What is New in Oncology Michael J Messino, MD Cancer Care of WNC An affiliate of Mission hospitals Personalized Medicine Personalized Genomics Genomic Medicine Precision Medicine Definition Application

More information

Leukemias and Lymphomas: A primer

Leukemias and Lymphomas: A primer Leukemias and Lymphomas: A primer Normal blood contains circulating white blood cells, red blood cells and platelets 700 red cells (oxygen) 1 white cell Neutrophils (60%) bacterial infection Lymphocytes

More information

Bone Marrow or Blood Stem Cell Transplants in Children With Severe Forms of Autoimmune Disorders or Certain Types of Cancer

Bone Marrow or Blood Stem Cell Transplants in Children With Severe Forms of Autoimmune Disorders or Certain Types of Cancer Bone Marrow or Blood Stem Cell Transplants in Children With Severe Forms of Autoimmune Disorders or Certain Types of Cancer A Review of the Research for Parents and Caregivers Is This Information Right

More information

More details >>> HERE <<<

More details >>> HERE <<< More details >>> HERE http://urlzz.org/conitp/pdx/cc8648/ Tags:

More information

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia INTRODUCTION Thrombophilia (Hypercoagulability) is a condition in which a person forms blood clots more than normal. Blood clots may occur in the arms or legs (e.g., deep vein thrombosis DVT), the lungs

More information

Monoclonal antibody (mab) products are currently a fast

Monoclonal antibody (mab) products are currently a fast Antibody Monoclonal Therapeutics Janice M. Reichert, Ph.D. Monoclonal antibody (mab) products are currently a fast growing category of drugs. Like antibodies produced naturally by the human immune system,

More information

Cover for medicine and treatment of chronic conditions. Cover for medicine and treatment of chronic conditions 22 November 2013 Page 1 of 16

Cover for medicine and treatment of chronic conditions. Cover for medicine and treatment of chronic conditions 22 November 2013 Page 1 of 16 Cover for medicine and treatment of chronic conditions 2014 Cover for medicine and treatment of chronic conditions 22 November 2013 Page 1 of 16 Cover for medicine and treatment of chronic conditions Overview

More information

Cutaneous Lymphoma FAST FACTS

Cutaneous Lymphoma FAST FACTS Cutaneous Lymphoma FAST FACTS What is Cutaneous Lymphoma? Cutaneous lymphomas are types of non-hodgkin s lymphomas (NHL) that originate in the lymphocytes (white blood cells). Unlike most other types of

More information

What You Need to Know About LEMTRADA (alemtuzumab) Treatment: A Patient Guide

What You Need to Know About LEMTRADA (alemtuzumab) Treatment: A Patient Guide For Patients What You Need to Know About LEMTRADA (alemtuzumab) Treatment: A Patient Guide Patients: Your doctor or nurse will go over this patient guide with you. It is important to ask any questions

More information

Acute Myeloid Leukemia

Acute Myeloid Leukemia Acute Myeloid Leukemia Introduction Leukemia is cancer of the white blood cells. The increased number of these cells leads to overcrowding of healthy blood cells. As a result, the healthy cells are not

More information

Pain management for cancer patients Acute Ischemic Stroke. Hemophilia, Von willebrand disease & Bleeding disorders. Infectious Disease

Pain management for cancer patients Acute Ischemic Stroke. Hemophilia, Von willebrand disease & Bleeding disorders. Infectious Disease Cigna Specialty Pharmacy Services Limited Distribution and Risk Evaluation Mitigation (RE) Drug List Last updated on 04/06/2015 Medication Brand Name Condition Actemra Rheumatroid Arthritis Acthar Seizure

More information

Cancer is the leading cause of death for Canadians aged 35 to 64 and is also the leading cause of critical illness claims in Canada.

Cancer is the leading cause of death for Canadians aged 35 to 64 and is also the leading cause of critical illness claims in Canada. Underwriting cancer In this issue of the Decision, we provide an overview of Canadian cancer statistics and the information we use to make an underwriting decision. The next few issues will deal with specific

More information

Specialty Drug Program RX Benefit Member Guide

Specialty Drug Program RX Benefit Member Guide Specialty Drug Program RX Benefit Member Guide bcbsm.com Enrollment Form for Walgreens Specialty Pharmacy, LLC. How to place your initial order with Walgreens Specialty Pharmacy: 1) Print and complete

More information

Medical Matters Action Checklists

Medical Matters Action Checklists Medical Matters Action Checklists The following Action Checklists are included in Chapter 5: Medical History Personal Medication Record Health Care Power of Attorney Medical Orders (Do Not Resuscitate/POLST)

More information

CHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 2. Neoplasms (C00-D49) March 2014. 2014 MVP Health Care, Inc. Neoplasms (C00-D49) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS C00-C14 Malignant neoplasms of lip, oral cavity and pharynx C15-C26 Malignant neoplasms of digestive organs

More information

Premera Blue Cross Blue Shield of

Premera Blue Cross Blue Shield of October 2008 Network news News from Premera Blue Cross Blue Shield of Alaska Premera has implemented the Advanced Imaging Quality Initiative. Contents Company Updates page 1 Claims & Payment Policy Updates

More information

Patient Information. Name: Social Security Number: Birth date: Email: Address: Phone #: House: Cell: Work: Primary Care Physician: Address:

Patient Information. Name: Social Security Number: Birth date: Email: Address: Phone #: House: Cell: Work: Primary Care Physician: Address: Patient Information Name: Social Security Number: Birth date: Age: Email: Address: Phone #: House: Cell: Work: Primary Care Physician: Phone #: Date Last Visit: Address: Emergency Contact: Emergency Phone

More information

Liver Function Essay

Liver Function Essay Liver Function Essay Name: Quindoline Ntui Date: April 20, 2009 Professor: Dr. Danil Hammoudi Class: Anatomy and Physiology 2 Liver function The human body consist of many highly organize part working

More information

National MS Society Information Sourcebook www.nationalmssociety.org/sourcebook

National MS Society Information Sourcebook www.nationalmssociety.org/sourcebook National MS Society Information Sourcebook www.nationalmssociety.org/sourcebook Chemotherapy The literal meaning of the term chemotherapy is to treat with a chemical agent, but the term generally refers

More information

Cancer Drug Coverage in Health Insurance Marketplace Plans

Cancer Drug Coverage in Health Insurance Marketplace Plans Cancer Drug Coverage in Health Insurance Marketplace Plans March 2014 Summary This analysis examines two issues of particular interest to the American Cancer Society Cancer Action Network (ACS CAN) and

More information

Virginia Group Health Insurance Medical History Form

Virginia Group Health Insurance Medical History Form Section 1: To Be Completed by Employer EMPLOYER GROUP NAME REQUESTED EFFECTIVE DATE Section 2: Employee Information Employee Name: Employee Address: (street, city, state & zip) Name of Current Insurer/HMO:

More information

2014-06-10 Approved Bendamustine - Treatment of relapsed low grade NHL in patients unable to receive standard therapy 2014-05-

2014-06-10 Approved Bendamustine - Treatment of relapsed low grade NHL in patients unable to receive standard therapy 2014-05- Sub. Sub. Status -06-16 Approved Lenalidomide - 2nd line treatment of multiple myeloma in patients who have contraindications to the use of bortezomib -06-16 Approved Lenalidomide - 2nd line treatment

More information

Human Normal Immunoglobulin Solution for Intravenous Infusion.

Human Normal Immunoglobulin Solution for Intravenous Infusion. CONSUMER MEDICINE INFORMATION (CMI) OCTAGAM Human Normal Immunoglobulin Solution for Intravenous Infusion. OCTAGAM is available in single use bottles of 20 ml, 50 ml, 100 ml and 200 ml. OCTAGAM contains

More information

NORD Guides for Physicians #1. Physician s Guide to. Tyrosinemia. Type 1

NORD Guides for Physicians #1. Physician s Guide to. Tyrosinemia. Type 1 NORD Guides for Physicians #1 The National Organization for Rare Disorders Physician s Guide to Tyrosinemia Type 1 The original version of this booklet was made possible by donations in honor of Danielle

More information

Multiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.

Multiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options. Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help

More information

Genetics Gender plays a role in kidney cancer, as men are twice as likely as women to develop RCC

Genetics Gender plays a role in kidney cancer, as men are twice as likely as women to develop RCC What is kidney cancer? Renal cell carcinoma (RCC) is the most common kind of kidney cancer. 1 Normally, your kidneys filter your blood and excrete waste in urine. Although our kidneys are important, we

More information

Understanding series. new. directions. 1-800-298-2436 LungCancerAlliance.org. A guide for the patient

Understanding series. new. directions. 1-800-298-2436 LungCancerAlliance.org. A guide for the patient Understanding series LUNG CANCER: new treatment directions 1-800-298-2436 LungCancerAlliance.org A guide for the patient TABLE OF CONTENTS What s New in lung cancer? Advancements...4 Changes in genes that

More information

Medication Guide TASIGNA (ta-sig-na) (nilotinib) Capsules

Medication Guide TASIGNA (ta-sig-na) (nilotinib) Capsules Medication Guide TASIGNA (ta-sig-na) (nilotinib) Capsules Read this Medication Guide before you start taking Tasigna and each time you get a refill. There may be new information. This information does

More information

CANCER EXPLAINED. Union for International Cancer Control Union Internationale Contre le Cancer

CANCER EXPLAINED. Union for International Cancer Control Union Internationale Contre le Cancer MEDIA FACTSHEET CANCER EXPLAINED What is cancer? Cancer is a disease which occurs when changes in a group of normal cells within the body lead to uncontrolled growth causing a lump called a tumour; this

More information

BILE ACID SYNTHESIS AND METABOLISM DEFECTS

BILE ACID SYNTHESIS AND METABOLISM DEFECTS The Childhood Liver Disease Research Network strives to provide information and support to individuals and families affected by liver disease through its many research programs. BILE ACID SYNTHESIS AND

More information

Critical PROVIDER FIELD UNDERWRITING GUIDE & RATE BOOK

Critical PROVIDER FIELD UNDERWRITING GUIDE & RATE BOOK G T L Critical PROVIDER FIELD UNDERWRITING GUIDE & RATE BOOK 10 OR 20 YEAR RENEWABLE TERM LIFE INSURANCE WITH A CRITICAL ILLNESS ACCELERATED BENEFIT RIDER WHICH PROVIDES CASH BENEFITS FOR 18 CRITICAL CONDITIONS

More information

Canine Lymphoma Frequently Asked Questions by Pet Owners

Canine Lymphoma Frequently Asked Questions by Pet Owners Canine Lymphoma Frequently Asked Questions by Pet Owners What is lymphoma? The term lymphoma describes a diverse group of cancers in dogs that are derived from white blood cells called lymphocytes. Lymphocytes

More information

List of Qualifying Conditions

List of Qualifying Conditions List of Qualifying Conditions Cancer Conditions 1) Adrenal cancer 2) Bladder cancer 3) Bone cancer all forms 4) Brain cancer 5) Breast cancer 6) Cervical cancer 7) Colon cancer 8) Colorectal cancer 9)

More information

Phoenix Remembrance Life

Phoenix Remembrance Life Phoenix Remembrance Life W e You Asked New Printer- Friendly Design! D e l i v e r e d Field Underwriting Guide For agent use only. Not for distribution to the public as sales literature. Phoenix Remembrance

More information

targeted therapy a guide for the patient

targeted therapy a guide for the patient targeted therapy FOR LUNG CANCER a guide for the patient TABLE OF CONTENTS lung cancer basics... 2-3 Gene changes... 4-5 Testing... 7-8 Targeted therapy... 9-11 Drugs Targeting EGFR... 12 Drugs Targeting

More information

Four Important Facts about Kidney Cancer

Four Important Facts about Kidney Cancer Volume Article.13-11 Publish Date: 24th June 2013 Author(s): MPUH - CRS Team Four Important Facts about Kidney Cancer ARTICLE hhh Muljibhai Patel Urological Hospital (MPUH) Centre For Robotic Surgery (CRS)

More information

Lung Cancer: More than meets the eye

Lung Cancer: More than meets the eye Lung Cancer Education Program November 23, 2013 Lung Cancer: More than meets the eye Shantanu Banerji MD, FRCPC Presenter Disclosure Faculty: Shantanu Banerji Relationships with commercial interests: Grants/Research

More information

Patient Medication Guide Brochure

Patient Medication Guide Brochure Patient Medication Guide Brochure 1 MEDICATION GUIDE TASIGNA (ta-sig-na) (nilotinib) Capsules Read this Medication Guide before you start taking TASIGNA and each time you get a refill. There may be new

More information

ORANGE COUNTY EYE INSTITUTE

ORANGE COUNTY EYE INSTITUTE ORANGE COUNTY EYE INSTITUTE *Note: It is the patient s responsibility to file insurance claims if we are not contracted with your insurance company. *Note: Be aware that most medical insurance plans do

More information

Malignant Lymphomas and Plasma Cell Myeloma

Malignant Lymphomas and Plasma Cell Myeloma Malignant Lymphomas and Plasma Cell Myeloma Dr. Bruce F. Burns Dept. of Pathology and Lab Medicine Overview definitions - lymphoma lymphoproliferative disorder plasma cell myeloma pathogenesis - translocations

More information

Summary of the risk management plan (RMP) for Accofil (filgrastim)

Summary of the risk management plan (RMP) for Accofil (filgrastim) EMA/475472/2014 Summary of the risk management plan (RMP) for Accofil (filgrastim) This is a summary of the risk management plan (RMP) for Accofil, which details the measures to be taken in order to ensure

More information

Avastin (Bevacizumab) Intravitreal Injection

Avastin (Bevacizumab) Intravitreal Injection Avastin (Bevacizumab) Intravitreal Injection This handout describes how Avastin may be used to treat wet age related macular degeneration (AMD) or macular edema due to retinal vascular disease such as

More information

Critical Illness with Term Assurance

Critical Illness with Term Assurance AIG Life Critical Illness with Term Assurance Our comprehensive Critical Illness with Term Assurance delivers more value and quality to the customer and their family than ever before. It is designed to

More information

GUIDE. Prepare for Your Phone Interview and Medical Exam.

GUIDE. Prepare for Your Phone Interview and Medical Exam. GUIDE Prepare for Your Phone Interview and Medical Exam. WHAT YOU NEED TO HAVE, KNOW, AND DO. All information gathered during the interview and exam will be shared only with those who need it in order

More information

North Carolina Rheumatology Association Position Statements

North Carolina Rheumatology Association Position Statements North Carolina Rheumatology Association Position Statements I. Biologic Agents A. Appropriate delivery, handling, storage and administration of biologic agents B. Indications for biologic agents II. III.

More information

New strategies in anticancer therapy

New strategies in anticancer therapy 癌 症 診 療 指 引 簡 介 及 臨 床 應 用 New strategies in anticancer therapy 中 山 醫 學 大 學 附 設 醫 院 腫 瘤 內 科 蔡 明 宏 醫 師 2014/3/29 Anti-Cancer Therapy Surgical Treatment Radiotherapy Chemotherapy Target Therapy Supportive

More information

In non-hodgkin s lymphoma, MabThera is used to treat two types of the disease, both of which affect B-lymphocytes:

In non-hodgkin s lymphoma, MabThera is used to treat two types of the disease, both of which affect B-lymphocytes: EMA/614203/2010 EMEA/H/C/000165 EPAR summary for the public rituximab This is a summary of the European public assessment report (EPAR) for. It explains how the Committee for Medicinal Products for Human

More information

Dallas Neurosurgical and Spine Associates, P.A Patient Health History

Dallas Neurosurgical and Spine Associates, P.A Patient Health History Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of

More information

Vitamin D. Sources of vitamin D

Vitamin D. Sources of vitamin D 1 has been in the news frequently this past year, including an article in The New York Times on November 16, 2009. So what is this vitamin? Why is it important? Most people have heard that vitamin D is

More information

Limited Pay Policy (L-222B) - Underwriting Guidelines

Limited Pay Policy (L-222B) - Underwriting Guidelines Limited Pay Policy (L-222B) - Underwriting Guidelines 1 Addiction/Abuser Drug - Past or Present Presently Recovered - AA for last 2 years 2 Aids 3 Alcoholic Presently Recovered - AA for last 2 years 4

More information

MEDICAL HISTORY AND SCREENING FORM

MEDICAL HISTORY AND SCREENING FORM MEDICAL HISTORY AND SCREENING FORM The purpose of preventive exams is to screen for potential health problems and provide education to promote optimal health. It is best practice for chronic health problems

More information

Severe rheumatoid arthritis (a disease that causes inflammation of the joints),where MabThera is given intravenously together with methotrexate.

Severe rheumatoid arthritis (a disease that causes inflammation of the joints),where MabThera is given intravenously together with methotrexate. EMA/614203/2010 EMEA/H/C/000165 EPAR summary for the public rituximab This is a summary of the European public assessment report (EPAR) for. It explains how the Committee for Medicinal Products for Human

More information

Understanding Rheumatoid Arthritis

Understanding Rheumatoid Arthritis Understanding Rheumatoid Arthritis Understanding Rheumatoid Arthritis What Is Rheumatoid Arthritis? 1,2 Rheumatoid arthritis (RA) is a chronic autoimmune disease. It causes joints to swell and can result

More information

ELEMENTS FOR A PUBLIC SUMMARY. Overview of disease epidemiology. Summary of treatment benefits

ELEMENTS FOR A PUBLIC SUMMARY. Overview of disease epidemiology. Summary of treatment benefits VI: 2 ELEMENTS FOR A PUBLIC SUMMARY Bicalutamide (CASODEX 1 ) is a hormonal therapy anticancer agent, used for the treatment of prostate cancer. Hormones are chemical messengers that help to control the

More information

The Most Common Autoimmune Disease: Rheumatoid Arthritis. Bonita S. Libman, M.D.

The Most Common Autoimmune Disease: Rheumatoid Arthritis. Bonita S. Libman, M.D. The Most Common Autoimmune Disease: Rheumatoid Arthritis Bonita S. Libman, M.D. Disclosures Two googled comics The Normal Immune System Network of cells and proteins that work together Goal: protect against

More information

Enjoy a position of vantage, come what may.

Enjoy a position of vantage, come what may. Enjoy a position of vantage, come what may. prucrisis covervantage While you have achieved much in life and you and your family enjoy the benefits of success, there may be times when the unexpected happens.

More information

STEM CELLS : A THERAPEUTIC REVOLUTION JACQUES KADOCH ROBERT HEMMINGS MARINELA MANDRA

STEM CELLS : A THERAPEUTIC REVOLUTION JACQUES KADOCH ROBERT HEMMINGS MARINELA MANDRA STEM CELLS : A THERAPEUTIC REVOLUTION JACQUES KADOCH ROBERT HEMMINGS MARINELA MANDRA OVO CLINIC I 8000 BLVD DECARIE, MONTREAL QC H4P 2S4 I 514.798.2000 I OVOCLINIC.COM 2 a therapeutic revolution As the

More information

Oncology Best Practice Documentation

Oncology Best Practice Documentation Oncology Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: Solid Tumors Lymphomas Leukemias Myelodysplastic Syndrome Pathology Findings

More information

Medicare Part D Plans Deliver Significant Savings on Innovative, Breakthrough Medicines

Medicare Part D Plans Deliver Significant Savings on Innovative, Breakthrough Medicines Medicare Part D Plans Deliver Significant Savings on Innovative, Breakthrough Medicines Survey Finds Private Sector Negotiations Provide Both Savings and Choice, Making Government Interference Unnecessary

More information

We understand you want support right from the beginning

We understand you want support right from the beginning PROTECT We understand you want support right from the beginning PRUearly stage crisis cover Should an illness strike, the earlier it is diagnosed, the easier it is to manage and the higher the chances

More information

Pulmonary Associates of Richmond

Pulmonary Associates of Richmond Pulmonary Associates of Richmond Name: Address One: City: Home Phone#: Work Phone#: Cell Phone#: State: Zip: Sex: Social Security Number: Referring Doctor: of Birth: Employer: Primary Care Doctor: Employment

More information

National Pharmaceutical Pricing Authority 3 rd Floor, YMCA Cultural Centre 1 Jai Singh Road New Delhi 110001 File No. 23(01)2014/Div.

National Pharmaceutical Pricing Authority 3 rd Floor, YMCA Cultural Centre 1 Jai Singh Road New Delhi 110001 File No. 23(01)2014/Div. Dated 21 st November 2014 NPPA Invites Comments of Pharmaceutical Industry & Trade, Consumer Organisations, Public Health Experts and other Stakeholders on the Recommendations of Tata Memorial Centre under

More information

MANAGING ANEMIA. When You Have Kidney Disease or Kidney Failure. www.kidney.org

MANAGING ANEMIA. When You Have Kidney Disease or Kidney Failure. www.kidney.org MANAGING ANEMIA When You Have Kidney Disease or Kidney Failure www.kidney.org About the Information in this Booklet Did you know that the National Kidney Foundation (NKF) offers guidelines and commentaries

More information

Lung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.

Lung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available. Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigarette

More information

NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only)

NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only) PAGE 1 NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only) 1. What is the main problem that you are having? (If additional space is required, please use the back of this

More information

Genetic Testing in Research & Healthcare

Genetic Testing in Research & Healthcare We Innovate Healthcare Genetic Testing in Research & Healthcare We Innovate Healthcare Genetic Testing in Research and Healthcare Human genetic testing is a growing science. It is used to study genes

More information

Recruitment Start date: April 2010 End date: Recruitment will continue until enrolment is fully completed

Recruitment Start date: April 2010 End date: Recruitment will continue until enrolment is fully completed Apitope study The study drug (ATX-MS-1467) is a new investigational drug being tested as a potential treatment for relapsing forms of multiple sclerosis (RMS). The term investigational drug means it has

More information

X-Plain Psoriasis Reference Summary

X-Plain Psoriasis Reference Summary X-Plain Psoriasis Reference Summary Introduction Psoriasis is a long-lasting skin disease that causes the skin to become inflamed. Patches of thick, red skin are covered with silvery scales. It affects

More information

Lauren Berger: Why is it so important for patients to get an accurate diagnosis of their blood cancer subtype?

Lauren Berger: Why is it so important for patients to get an accurate diagnosis of their blood cancer subtype? Hello, I m Lauren Berger and I m the Senior Director of Patient Services Programs at The Leukemia & Lymphoma Society. I m pleased to welcome Dr. Rebecca Elstrom. Dr. Elstrom is an Assistant Professor in

More information

LIFE SETTLEMENT QUALIFIER

LIFE SETTLEMENT QUALIFIER LIFE SETTLEMENT QUALIFIER D I R E C T SECTION 1 PRIMARY CONTACT Name _ Primary phone number ( ) Email Best time to call morning afternoon evening SECTION 2 POLICY DETAILS Life Insurance Policy Information

More information

SASKATCHEWAN FORMULARY BULLETIN Update to the 62nd Edition of the Saskatchewan Formulary

SASKATCHEWAN FORMULARY BULLETIN Update to the 62nd Edition of the Saskatchewan Formulary November 1, 2014 Bulletin #150 ISSN 1923-0761 SASKATCHEWAN FORMULARY BULLETIN Update to the 62nd Edition of the Saskatchewan Formulary New Exception Drug Status (EDS) Listings Effective November 1, 2014

More information

.org. Metastatic Bone Disease. Description

.org. Metastatic Bone Disease. Description Metastatic Bone Disease Page ( 1 ) Cancer that begins in an organ, such as the lungs, breast, or prostate, and then spreads to bone is called metastatic bone disease (MBD). More than 1.2 million new cancer

More information

AMERICAN HERITAGE LIFE INSURANCE COMPANY (AHL) 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA 32224

AMERICAN HERITAGE LIFE INSURANCE COMPANY (AHL) 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA 32224 AMERICAN HERITAGE LIFE INSURANCE COMPANY (AHL) 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA 32224 For AHL Home Office use only tes EVIDENCE OF INSURABILITY AND ENROLLMENT FORM Check appropriate

More information

Growth Hormone Deficiency

Growth Hormone Deficiency Growth Hormone Deficiency What is growth hormone deficiency? 1,2 Growth hormone deficiency is when your body doesn t make enough growth hormone. Growth hormone is one of many hormones made by the pituitary

More information