AETNA Texas Medicaid Prior Authorization Criteria and Policy Antiviral Agents for Hepatitis C Virus
|
|
- Dorthy Fisher
- 7 years ago
- Views:
Transcription
1 I. Patient Eligibility 1. Patient is a Texas Medicaid patient greater than or equal to 18 years of age 2. Patient must have the diagnosis of Chronic Hepatitis C Virus (HCV) with a confirmed genotype of 1a, 1b, 2, 3, or Patient must have at least one negative drug screening within 30 days prior to the start of HCV treatment. 4. Patient with diagnosis of illicit drug use disorder must have initiated a substance use disorder treatment program at least 6 months prior to the start of HCV treatment. 5. Patient is not consuming alcohol. 6. Prescriber must be a Board Certified Gastroenterologist, Hepatologist, or Infectious Disease physician for initial approval. a. A prescriber other than the above specialists may prescribe refills and assume responsibility and care for the patient when written consult is provided by the specialist within the last 3 months. Documentation of consult must be submitted. 7. Patient with METAVIR scores 3 or 4. a. or hepatocellular carcinoma regardless of METAVIR score. b. or post liver transplant regardless of METAVIR score. 8. Patient or if applicable, patient's female partner, is not pregnant or attempting conception. a. Patient's pregnancy status must be confirmed by a pregnancy test within 30 days prior to the start of HCV treatment. 9. Prescriber confirms that the patient is mentally competent and able to make appropriate decisions throughout treatment and is capable of completing therapy. 10. Prescriber agrees to provide required lab results at baseline and as required to monitor therapy including but not limited to: a. Height, weight, liver function tests, serum creatinine, creatinine clearance, hemoglobin, white blood cell count, absolute neutrophil count, and platelets. b. HCV RNA levels at baseline, treatment weeks 4 and 12, and week 24 if applicable. c. Documentation of labs used in the calculation of METAVIR Score must be provided if requested by the patient's health care plan. II. Treatment approval 1. Prior authorization is granted for 6 weeks per approval. 2. Prescriptions may be dispensed for a maximum of 28 day supply. 3. Labs are required at weeks 4, 12, and 24. Refill authorization may be refused if patient or prescriber are unable to provide required documents. 4. Regimen approval is based on METAVIR score, genotype, disease related conditions, concurrent drug therapies, and previous HCV treatment regimens. 5. Clients who transition to Medicaid from another health care plan while currently undergoing active HCV treatment will be allowed to continue the HCV treatment regimen without interruption regardless of drug status (preferred or non-preferred). 6. The current preferred direct acting antiviral product on the Texas Preferred Drug List is Viekira Pak. Viekira Pak is FDA approved for treatment of patients with genotype Approval of non-preferred products may be considered for patients in whom Viekira Pak is not indicated. Rev. 03/2015 Page 1 of 6
2 III. Criteria for Denial 1. Patient with METAVIR scores 0-2 without hepatocellular carcinoma or previous liver transplant. 2. Patient or patient's female partner is pregnant or attempting conception. 3. Patient has not abstained from alcohol or illicit drugs. 4. Patient has previously failed to complete therapy with direct acting antiviral agents for HCV, due to patient lack of adherence or health care plan denial. 5. Patient is genotype 5 or Patients has end stage renal disease (CrCl < 30ml/min/1.73m 2 ) 7. Patient s non-adherence to therapy for more than 7 days will result in discontinuation of prior authorization and further refills will not be allowed. Exceptions may be considered in circumstances which are beyond patient or prescriber control. IV. Additional Considerations 1. Coverage for HCV treatment will be once per lifetime. 2. Lost or stolen medications will not be replaced. Rev. 03/2015 Page 2 of 6
3 Please sign and fax to (866) with the Prior Authorization Form-Initial Request. Please read the Hepatitis C prior to signing this document. As the prescriber I agree to provide verbal and written educational information regarding Hepatitis C Virus (HCV) and current treatment options, including but not limited to the following: Prevention of HCV re-infection and human immunodeficiency virus (HIV) transmission Patients should abstain from intravenous drug use and understand other methods of transmission, including needle sharing, sex with infected partners, sharing personal items that might have blood on them such as razors or toothbrushes, or exposure to infected blood and body fluids via cuts or sores on the skin. Patients should understand the impact of alcohol and illicit drugs and their ability to impair judgments and alter decision making. If appropriate, patient should be educated on the importance of maintaining enrollment with a drug use disorder recovery program and compliance with related drug use disorder treatment medications Prevention of liver disease progression HCV-positive persons should be advised to avoid alcohol because it can accelerate liver disease. The CDC recommends Hepatitis A and B vaccines for those with chronic liver disease as well as a yearly influenza vaccine. All HCV patients should be up to date on vaccines according to the CDC Adult Immunization Schedule. Take only medications approved by your doctor. Prescription drugs as well as over the counter medications and herbal medicines may cause further damage to the liver. A buildup of fat in the liver can cause further liver damage. Eating healthy and working out can help patients lose weight and maintain a healthy weight. Drug treatment process Prescriber must evaluate patient's mental status prior to start of treatment. Patient should provide accurate contact information with a secondary contact for backup. Medicaid may deny a refill or authorization request due to failure to refill the medication in a timely manner, defined as a refill that is greater than 7 days late. Treatment coverage for HCV is once per lifetime. Failure to comply with therapy may result in treatment denial now or in the future. Appropriate education regarding dosage, therapy, side effects and adverse events related to selected treatment regimen, and therapy duration must be provided prior to treatment initiation. Pregnancy is contraindicated during treatment. Two methods of contraception are recommended. Estrogen based therapies are contraindicated. Estrogen therapy should be replaced with progestin therapy if appropriate. HCV-positive persons should check with a health care professional before taking any new prescription drug, over the counter drugs, or herbal or nutritional supplements. Rev. 03/2015 Page 3 of 6
4 Additional information Prescriber agrees to provide documentation related to any information supplied on the prior authorization form if requested by patient's health plan, provided the request is in compliance with HIPAA. Failure to provide required labs or requested documents may result in treatment denial. Patient education information and printable documents may be found at and ProCeed is a program sponsored by AbbVie that provides personalized treatment support for patients taking Viekira Pak. For more information please call proCeed or visit Prescriber acknowledgment By signing below, I agree that I have explained the contents of this document, provided written and verbal education to the patient, and answered any questions the patient may have regarding their Hepatitis C treatment. Prescriber Signature: Date Prescriber Printed Name: Patient acknowledgment By signing below, I agree that the doctor has explained the contents of this letter and answered any questions I have regarding my Hepatitis C treatment. Patient Signature: Date Patient Printed Name: Rev. 03/2015 Page 4 of 6
5 Please complete and fax all required documents to (866) for initial prior authorization) requests. Prior authorization will be granted for 6 weeks duration. Labs are required for weeks 0, 4, 12, and 24 of therapy. For refill authorizations please use the Prior Approval Refill Request Form. 1. Prescriber Materials Checklist Completed Initial Request PA Form Completed Prescriber Certification Copy of METAVIR score results Copy of all hepatitis C virus (HCV) treatment prescriptions 2. Client Information Name (Last, First): Medicaid ID #: Diagnosis: Date of Birth: (mm/dd/ccyy) Gender: Current Weight: lb kg 3. Prescriber Information Name: NPI #: State license #: Height: cm in Phone: Fax: Provider Specialty: 4. Laboratory (All required laboratory values and testing below must be from the previous 30 days) Value Date Critical values ALT > 10 x ULN (400 U/L) SCr > 2 mg/dl CrCl < 30 ml/min/1.73m 2 Hgb WBC ANC Plt Baseline HCV RNA level < 8.5 g/dl < 1,000 cells/µl < 500 cells/µl < 25,000 cells/µl 5. Patient Condition(s) (check all that apply): Hepatocellular carcinoma HIV co-infection Awaiting liver transplant Null responder Previous liver transplant(s) Partial responder Compensated cirrhosis Relapsed Decompensated cirrhosis End stage renal disease requiring hemodialysis Extra-hepatic manifestations (leukocytoclastic vasculitis, membranoproliferative glomerulonephritis, or symptomatic cryoglobulinemia) 6. Required Testing (Results below must be from the previous 30 days with the exception of fibrosis score testing.) HCV Genotype: 1a 1b Date of testing: METAVIR Fibrosis Score # : Date of testing: Pregnancy Test Results: Positive Negative Date of testing: Drug Test Results: Positive Negative Date of testing: Q80K polymorphism* Positive Negative N/A Date of testing: Is the patient currently abusing alcohol? Yes No History of Substance Use Disorder Treatment: Yes No Date of treatment initiation: # Documentation of METAVIR score results must be submitted. Approved documentation includes a single biopsy within previous 5 years, OR two of the following non-invasive tests from the previous 2 years: ActiTest, FIB4, Fibroscan, FibroSURE, and Hepascore. Submittal of other non-invasive tests is subject to denial. *Q80K polymorphism testing required only if requesting simeprevir therapy. Rev. 03/2015 Page 5 of 6
6 7. Prescribing Information Requested Duration of Therapy 8 weeks 12 weeks 24 weeks Greater than 24 weeks Preferred Products ombitasvir/paritaprevir/ritonavir and dasabuvir (Viekira Pak ) 12.5/75/50 mg and 250 mg tabs ribavirin Non-Preferred Products pegylated interferon sofosbuvir (Sovaldi ) 400 mg tab simeprevir (Olysio ) 150 mg cap ledipasvir/sofosbuvir (Harvoni ) mg tab Viekira Pak is the preferred direct acting antiviral drug product on the Medicaid Preferred Drug List. Selection of nonpreferred products may be appropriate for patients in whom Viekira Pak is not indicated. Situations where a nonpreferred product may be considered include patients with decompensated cirrhosis, genotypes 2, 3, or 4, or patients on contraindicated drug therapies where switching to a non-contraindicated medication may be life-threatening. Please see medication prescribing information for guidance regarding dosing adjustments and discontinuation of contraindicated drugs. If selecting a non-preferred product, please explain the reason for doing so below. Selection of a non-preferred product does not guarantee coverage. Provider additional notes: (May attach additional page if needed) 8. Signature Provider signature: Date: Provider signature indicates provider attests to all information outlined in the Prior Authorization Form,, and Patient Education for Hepatitis C Treatment Prescriber Certification documents. Rev. 03/2015 Page 6 of 6
HEPATITIS C THERAPY PRIOR AUTHORIZATION FORM: Page 1 of 3 Patient Information. Diagnosis Acute Hep C Chronic Hep C Hepatocellular Carcinoma
HEPATITIS C THERAPY PRIOR AUTHORIZATION FORM: Page 1 of 3 Patient Information Recipient: MA#: Date of Birth: Phone #: Body Weight: Treatment Plan Sovaldi (sofosbuvir) 400mg: Take once daily for weeks Olysio
More informationPRIOR AUTHORIZATION PROTOCOL FOR HEPATITIS C TREATMENT
PRIOR AUTHORIZATION PROTOCOL FOR HEPATITIS C TREATMENT HARVONI (90mg ledipasvir/400mg sofosbuvir): tablet (PREFERRED AGENT) SOVALDI (sofosbuvir ): 400mg tablets (PREFERRED AGENT ) OLYSIO (simeprivir) PEG-INTRON
More informationHepatitis C Treatment Criteria Commercial & Minnesota Health Care Programs
Last update: February 23, 2015 Hepatitis C Treatment Criteria Commercial & Minnesota Health Care Programs Please see healthpartners.com for Medicare coverage criteria. Table of Contents 1. Harvoni 2. Sovaldi
More informationHepatitis C Virus Direct-Acting Antivirals Prior Authorization Request Form
Hepatitis C Virus Direct-Acting Antivirals Prior Authorization Request Form For assistance, please call 1-855-552-6028 or fax completed form to 570-271-5610. Medical documentation may be requested. This
More informationMEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES. I. Requirements for Prior Authorization of Hepatitis C Agents
MEDICAL ASSISTANCE HBOOK I. Requirements for Prior Authorization of Hepatitis C Agents A. Prescriptions That Require Prior Authorization Prescriptions for Hepatitis C Agents that meet any of the following
More informationRequest for Prior Authorization HEPATITIS C TREATMENTS
IA Medicaid Member ID # Patient name DOB FAX Completed Form To 1 (800) 574-2515 Provider Help Desk 1 (877) 776-1567 Patient address Patient phone Provider NPI Prescriber name Phone Prescriber address Fax
More informationPHARMACY PRIOR AUTHORIZATION
PHARMACY PRIOR AUTHORIZATION Hepatitis C Clinical Guideline Harvoni (sofosbuvir/ledipasvir), Sovaldi (sofosbuvir), Viekira PAK (ombitsavir, paritapravir/ritonavir, dasubavir), and Olysio (simeprevir) Authorization
More informationSovaldi (sofosbuvir) Prior Authorization Criteria
INITIAL REVIEW CRITERIA Sovaldi (sofosbuvir) Prior Authorization Criteria 1. Adult patient age 18 years old; AND 2. Prescribed by a hepatologist, gastroenterologist, infectious disease specialist, transplant
More informationClinical Criteria for Hepatitis C (HCV) Therapy
Diagnosis Clinical Criteria for Hepatitis C (HCV) Therapy Must have chronic hepatitis C (HCV infection > 6 months), genotype and sub-genotype specified to determine the length of therapy; Liver biopsy
More informationPREPARED BY THE CENTER FOR HEALTH LAW AND POLICY INNOVATION OF HARVARD LAW SCHOOL
Pennsylvania PREPARED BY THE CENTER FOR HEALTH LAW AND POLICY INNOVATION OF HARVARD LAW SCHOOL Pennsylvania Hepatitis C Virus (HCV) in Pennsylvania Prevalence + + Although state-wide data were unavailable,
More informationMEDICAL POLICY STATEMENT
MEDICAL POLICY STATEMENT Original Effective Date Next Annual Review Date Last Review / Revision Date 5/21/2014 3/24/2016 3/24/2015 Policy Name Policy Number Hepatitis C Oral SRx-0003 Medical Policy Statements
More informationClinical Criteria for Hepatitis C (HCV) Therapy
Diagnosis Clinical Criteria for Hepatitis C (HCV) Therapy Must have chronic hepatitis C, genotype and sub-genotype specified to determine the length of therapy; Liver biopsy or other accepted test demonstrating
More informationLedipasvir/Sofosbuvir (Harvoni) for Treatment of Hepatitis C
Ledipasvir/Sofosbuvir (Harvoni) for Treatment of Hepatitis C Policy Number: Original Effective Date: MM.04.034 12/1/2014 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 12/1/2014
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Hepatitis C Second Generation Antivirals (2015) Page 1 of 14 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: See also: Hepatitis C Second Generation Antivirals Through
More informationPRIOR AUTHORIZATION POLICY
PRIOR AUTHORIZATION POLICY Harvoni (sofosbuvir/ledipasvir tablets Gilead) To initiate a Coverage Review, Call 1-800-417-1764 OVERVIEW Harvoni is a fixed-dose combination of ledipasvir, a hepatitis C virus
More informationMEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES. I. Requirements for Prior Authorization of Hepatitis C Agents
MEDICAL ASSISTANCE HBOOK PRI AUTHIZATION OF PHARMACEUTICAL SERVICES I. Requirements for Prior Authorization of Hepatitis C Agents A. Prescriptions That Require Prior Authorization Prescriptions for Interferon,
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Hepatitis C Second Generation Antivirals Page 1 of 22 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Hepatitis C Second Generation Antivirals Through Preferred
More informationHepatitis C Second Generation Antivirals (Harvoni, Technivie TM, Viekira Pak ) Prior Authorization - Through Preferred Agent(s) Program Summary
Hepatitis C Second Generation Antivirals (Harvoni, Technivie TM, Viekira Pak ) Prior Authorization - Through Preferred Agent(s) Program Summary This program applies to Health Insurance Marketplace, FlexRx
More informationHEPATITIS C TREATMENT GUIDELINES
HEPATITIS C TREATMENT GUIDELINES Updated May 21, 2014 INSTRUCTIONS: 1. Review the posted Hepatitis C Treatment Guidelines document to validate that your patient meets the criteria for treatment. 2. Complete
More informationHepatitis C Treatment Expansion Initiative Multi-Site Conference Call. March 16, 2011
Hepatitis C Treatment Expansion Initiative Multi-Site Conference Call March 16, 2011 Case Presentations Kansas City Free Health Clinic Carilion Clinic Didactic Session Challenges in Determining HCV Treatment
More informationUpdate on Hepatitis C. Sally Williams MD
Update on Hepatitis C Sally Williams MD Hep C is Everywhere! Hepatitis C Magnitude of the Infection Probably 8 to 10 million people in the U.S. are infected with Hep C 30,000 new cases are diagnosed annually;
More informationNew IDSA/AASLD Guidelines for Hepatitis C
NORTHWEST AIDS EDUCATION AND TRAINING CENTER New IDSA/AASLD Guidelines for Hepatitis C John Scott, MD, MSc Associate Professor, UW SoM Asst Director, Liver Clinic, Harborview Medical Center Presentation
More informationHIV and Hepatitis Co-infection. Martin Fisher Brighton and Sussex University Hospitals, UK
HIV and Hepatitis Co-infection Martin Fisher Brighton and Sussex University Hospitals, UK Useful References British HIV Association 2010 http://www.bhiva.org/documents/guidelines/hepbc/2010/ hiv_781.pdf
More informationCommonly Asked Questions About Chronic Hepatitis C
Commonly Asked Questions About Chronic Hepatitis C From the American College of Gastroenterology 1. How common is the hepatitis C virus? The hepatitis C virus is the most common cause of chronic viral
More informationHepatitis C Virus (HCV)
HFS Report to Legislative Task Force Hepatitis C Arvind Goyal MD, MPH, MBA Medical Director Illinois Department of Healthcare and Family Services Hepatitis C Virus (HCV) Slowly progressive disease 40 years-median
More informationAn Approach to the Diagnosis and Treatment of Hepatitis C Virus Infection in 2015. Matthew McMahon, MD
An Approach to the Diagnosis and Treatment of Hepatitis C Virus Infection in 2015 Matthew McMahon, MD In the United States, 2.2-3.2 million people are infected with the hepatitis C virus (HCV) Half unaware
More informationChronic Hepatitis C Virus (Chronic HCV)
Chronic Hepatitis C Virus (Chronic HCV) Amie Baumgartner PA-C Fall 2015 Purpose of Lecture! Educate Gastroenterology nurses about Hepatitis C and its treatment in order to improve their knowledge and confidence
More informationTransmission of HCV in the United States (CDC estimate)
Transmission of HCV in the United States (CDC estimate) Past and Future US Incidence and Prevalence of HCV Infection Decline among IDUs Overall incidence Overall prevalence Infected 20+ years Armstrong
More informationPrior Authorization Policy
Prior Authorization Policy http://www.paramounthealthcare.com/providers Ribavirin Rebetol (ribavirin capsule or oral solution) Copegus (ribavirin tablet), Moderiba (ribavirin tablet), Ribasphere (ribavirin
More informationReview: How to work up your patient with Hepatitis C
Review: How to work up your patient with Hepatitis C You screened your patient, and now the HCV antibody test is positive. What do you do next? The antibody test only means they have been exposed to HCV.
More informationJuly 2015 Preferred Drug List Review and Other Pharmacy Policy Changes
Update June 2015 No. 2015-27 Affected Programs: BadgerCare Plus, Medicaid, SeniorCare To: Blood Banks, Dentists, Federally Qualified Health Centers, Hospital Providers, Nurse Practitioners, Nursing Homes,
More informationMEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES. I. Requirements for Prior Authorization of Hepatitis C Agents
MEDICAL ASSISTANCE HBOOK I. Requirements for Prior Authorization of Hepatitis C Agents A. Prescriptions That Require Prior Authorization Prescriptions for Pegasys and non-preferred Hepatitis C Agents must
More informationApplicable Coding: GCN: Solvaldi - 35708; Harvoni 037179; Viekira Pak 037614; Daklinza 037073, 037074; Technivie - 037844
Policy Subject: Policy Number: Classification: Hepatitis C Agents (new) SHS PBD38 Anti-virals: Hepatitis C Policy Type: Medical Pharmacy Department: Pharmacy Product (check all that apply): Group HMO/POS
More informationHow To Get A Hepatitis C Virus Cure
EXAMINING HEPATITIS C VIRUS TREATMENT ACCESS A REVIEW OF SELECT STATE MEDICAID FEE-FOR-SERVICE AND MANAGED CARE PROGRAMS PREPARED BY THE CENTER FOR HEALTH LAW AND POLICY INNOVATION OF HARVARD LAW SCHOOL
More informationThe following should be current within the past 6 months:
EVALUATION Baseline Labs Obtain at time or prior to initial evaluation CBC with diff PT/INR CMP HCV Genotype (obtained PRIOR TO consult visit) HCV RNA (obtained PRIOR TO consult visit) Hep A IgG Hep BsAg,
More informationA Cure is Within Reach:
A Cure is Within Reach: A Review of the New HCV Medications Misty Miller, Pharm.D., BCPS, AAHIVP Clinical Assistant Professor University of Oklahoma College of Pharmacy September 11, 2015 Pre Assessment
More informationboceprevir 200mg capsule (Victrelis ) Treatment experienced patients SMC No. (722/11) Merck, Sharpe and Dohme Ltd
boceprevir 200mg capsule (Victrelis ) Treatment experienced patients SMC No. (722/11) Merck, Sharpe and Dohme Ltd 09 September 2011 The Scottish Medicines Consortium (SMC) has completed its assessment
More informationEXAMINING HEPATITIS C VIRUS TREATMENT ACCESS:
EXAMINING HEPATITIS C VIRUS TREATMENT ACCESS: PREPARED BY THE CENTER FOR HEALTH LAW AND POLICY INNOVATION OF HARVARD LAW SCHOOL With special thanks to our Harvard Law School students, James Fullmer, Kellen
More informationGUIDELINES FOR THE SCREENING, CARE AND TREATMENT OF PERSONS WITH CHRONIC HEPATITIS C INFECTION POLICY BRIEF
NEW RECOMMENDATIONS IN THE UPDATED WHO GUIDELINES FOR THE SCREENING, CARE AND TREATMENT OF PERSONS WITH CHRONIC HEPATITIS C INFECTION POLICY BRIEF NEW RECOMMENDATIONS IN THE UPDATED WHO GUIDELINES FOR
More informationTreatment of Hepatitis C in Patients with Renal Insufficiency
HEPATITIS WEB STUDY HEPATITIS C ONLINE Treatment of Hepatitis C in Patients with Renal Insufficiency Robert G. Gish MD Professor Consultant, Stanford University Medical Center Senior Medical Director,
More informationUnderstanding Hepatitis C Treatment Access
Understanding Hepatitis C Treatment Access Robert Greenwald, JD, Clinical Professor of Law & Director, Center for Health Law and Policy Innovation of Harvard Law School May 2015 Comments Based on Findings
More informationInformation about hepatitis C for patients and carers
Information about hepatitis C for patients and carers What is hepatitis C? Hepatitis C is an illness caused by a virus which can be passed through blood from one person to another. It mainly affects the
More informationNewly Diagnosed: HEPATITIS C. American Liver Foundation Support Guide
Newly Diagnosed: HEPATITIS C American Liver Foundation Support Guide T he American Liver Foundation's mission is to facilitate, advocate, and promote education, support, and research for the prevention,
More informationNEW DRUGS FOR THE TREATMENT OF HEPATITIS C. Marcella Honkonen, PharmD, BCPS AzPA Annual Convention. Sunday, June 29 th, 2014 (1:15-2:15)
NEW DRUGS FOR THE TREATMENT OF HEPATITIS C Marcella Honkonen, PharmD, BCPS AzPA Annual Convention. Sunday, June 29 th, 2014 (1:15-2:15) Objectives Determine initial treatment options for patients with
More informationHepatitis C Infection In Singapore
Hepatitis C Infection In Singapore Richard Guan MBBS, MRCP(UK), FAMS(Gastro), FRCP(Edin), FRCP(Lond) Gastroenterologist & Hepatologist, Mt Elizabeth Medical Centre, Singapore Summary of HCV treatment practice
More informationboceprevir 200mg capsule (Victrelis ) Treatment naïve patients SMC No. (723/11) Merck Sharpe and Dohme Ltd
boceprevir 200mg capsule (Victrelis ) Treatment naïve patients SMC No. (723/11) Merck Sharpe and Dohme Ltd 09 September 2011 The Scottish Medicines Consortium (SMC) has completed its assessment of the
More informationHepatitis Update. HCV Cure As A Paradigm for Convergence of Interests. Evidence Based Nuts and Bolts For the Family Doc 11/5/2014
Evidence Based Nuts and Bolts For the Family Doc Hepatitis Update William Carey MD MACG, FAASLD Oct 25, 2014 HCV Cure As A Paradigm for Convergence of Interests Hepatitis C Cure 1 Get Ready Get SET Go
More informationHCSP GUIDES A GUIDE TO: PREPARING FOR TREATMENT. A publication of the Hepatitis C Support Project
HCSP GUIDES T R E AT M E N T I S S U E S A publication of the Hepatitis C Support Project The information in this guide is designed to help you understand and manage HCV and is not intended as medical
More informationUnderstanding the Reimbursement Environment in Hepatitis C
Understanding the Reimbursement Environment in Hepatitis C Camilla S. Graham, MD, MPH, Division of Infectious Diseases, Beth Israel Deaconess Medical Center Robert Greenwald, JD, Clinical Professor of
More informationThe question and answer session is not available after the live webinar.
1 Read verbatim. 2 The Infectious Diseases Society of America (IDSA) Hepatitis C Knowledge Network offers monthly, 1 hour webinars to educate IDSA members on current recommended practices and treatments
More informationLearning about Hepatitis C and Chronic Kidney Disease
Learning about Hepatitis C and Chronic Kidney Disease Hepatitis C and Chronic Kidney Disease If you have chronic kidney disease (CKD), you want to learn all you can about your disease and what you can
More informationHCV Epidemiology in the United States
HCV Epidemiology in the United States Scott Holmberg, MD, MPH Chief, Epidemiology and Surveillance Branch, DVH, CDC sdh1@cdc.gov A Tale of Two Epidemics Chronic HCV: Rapidly increasing mortality and morbidity
More informationExamining Hepatitis C Treatment Access: What Nurses Need to Know
Examining Hepatitis C Treatment Access: What Nurses Need to Know Ryan Clary, Executive Director, National Viral Hepatitis Roundtable Robert Greenwald, Director, Center for Health Law and Policy Innovation;
More informationObjectives. Hepatitis C: The new era of screening and treatment. Distribution of HCV genotypes 11/1/2014. History of HCV diagnosis and screening
Objectives Hepatitis C: The new era of screening and treatment David Crabb, M.D. Department of Medicine, Indiana University and Eskenazi Health Describe the natural history of HCV infection Be able to
More informationHepatitis C in 2015. Primary Care Providers: Linkage to Care
Hepatitis C in 2015 Primary Care Providers: Linkage to Care Michael D Voigt Medical Director, Liver Failure and Transplantation University of Iowa, Hospitals and Clinics Disclosures I have NO disclosures
More informationCirrhosis and HCV. Jonathan Israel M.D.
Cirrhosis and HCV Jonathan Israel M.D. Outline Relationship of fibrosis and cirrhosisprevalence and epidemiology. Sequelae of cirrhosis Diagnosis of cirrhosis Effect of cirrhosis on efficacy of treatment
More informationPreface. TTY: (888) 232-6348 or cdcinfo@cdc.gov. Hepatitis C Counseling and Testing, contact: 800-CDC-INFO (800-232-4636)
Preface The purpose of this CDC Hepatitis C Counseling and Testing manual is to provide guidance for hepatitis C counseling and testing of individuals born during 1945 1965. The guide was used in draft
More informationMonitoring of Treatment of viral hepatitis C
Monitoring of Treatment of viral hepatitis C J.Boubaker Department of Gastroenterology La Rabta hospital Tunis-Tunisia Monitoring of Hepatitis C Treatment Aims of Monitoring : Evaluate Efficacy. Detect
More informationWhen an occupational exposure occurs, the source patient should be evaluated for both hepatitis B and hepatitis C. (AII)
XI. OCCUPATIONAL EXPOSURES TO HEPATITIS B AND C RECOMMENDATION: When an occupational exposure occurs, the source patient should be evaluated for both hepatitis B and hepatitis C. (AII) The risk of transmission
More informationMEDICAL ASSISTANCE BULLETIN
ISSUE DATE May 11, 2015 SUBJECT EFFECTIVE DATE May 18, 2015 MEDICAL ASSISTANCE BULLETIN NUMBER *See below BY Prior Authorization of Multiple Sclerosis Agents Pharmacy Service Leesa M. Allen, Deputy Secretary
More informationHCV Case Study. Optimizing Outcomes with Current Therapies
HCV Case Study Optimizing Outcomes with Current Therapies This program is supported by educational grants from Kadmon and Merck Pharmaceuticals. Program Disclosure This activity has been planned and implemented
More informationA Proposal for Managing the Harvoni Wave June 22, 2015
A Proposal for Managing the Harvoni Wave June 22, 2015 Clinical Background Hepatitis C is an infectious disease caused by the Hepatitis C Virus (HCV) that damages the liver over time. The disease affects
More informationAlbumin. Prothrombin time. Total protein
Hepatitis C Fact Sheet February 2016 www.hepatitis.va.gov Laboratory Tests and Hepatitis If you have hepatitis C, your doctor will use laboratory tests to about learn more about your individual hepatitis
More informationHepatitis C. Laboratory Tests and Hepatitis C
Hepatitis C Laboratory Tests and Hepatitis C If you have hepatitis C, your doctor will use laboratory tests to check your health. This handout will help you understand what the major tests are and what
More informationDisclosure of Conflicts of Interest Learner Assurance Statement:
Raj Reddy, MD Ruimy Family President's Distinguished Professor of Medicine Professor of Medicine in Surgery Director of Hepatology Director, Viral Hepatitis Center Medical Director, Liver Transplantation
More informationINFORMATION ABOUT HEPATITIS C
INFORMATION ABOUT HEPATITIS C PATIENT BOOKLET Index 1 About Hepatitis C About Hepatitis C Page 1 Hepatitis C Transmission Page 3 Hepatitis C Disease Progression Page 4 Hepatitis C Diagnosis and Treatment
More informationI. What s New and Updates/Changes (Last updated: February 17, 2015; last reviewed: February 17, 2015) Summary Table
Chronic Hepatitis C Virus (HCV) Infection: Treatment Considerations from the Department of Veterans Affairs National Hepatitis C Resource Center Program and the Office of Public Health Contents I. What
More informationOutpatient/Ambulatory Health Services
Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician
More information3/25/2014. April 3, 2014. Dennison MM, et al. Ann Intern Med. 2014;160:293 300.
April 3, 2014 3.6 million persons ever infected; 2.7 million chronic infections 1 Up to 75% unaware of status Transmitted through percutaneous exposure to infected blood Injection drug use (IDU) is the
More informationHepatitis C - genotype 2/3
Hepatitis C - genotype 2/3 Information for you Follow us on Twitter @NHSaaa Find us on Facebook at www.facebook.com/nhsaaa Visit our website: www.nhsaaa.net All our publications are available in other
More informationHepatitis C. Screening, Diagnosis and Linkage to Care
Hepatitis C Screening, Diagnosis and Linkage to Care Diagnosis If your hepatitis C antibody test is reactive, a second test will be needed to diagnose and determine if you are currently infected. Screening
More informationHepatitis C Class Review
Hepatitis C Class Review Drug Use Research & Management Program Oregon State University, 500 Summer Street NE, E35, Salem, Oregon 97301-1079 Phone 503-945-5220 Fax 503-947-1119 Month/Year of Review: January
More informationPRACTICE GUIDANCE Hepatitis C Guidance: AASLD-IDSA Recommendations for Testing, Managing, and Treating Adults Infected With Hepatitis C Virus
PRACTICE GUIDANCE Hepatitis C Guidance: AASLD-IDSA s for Testing, Managing, and Treating Adults Infected With Hepatitis C Virus AASLD/IDSA HCV Guidance Panel* Preamble The pace of hepatitis C virus (HCV)
More informationHepatitis C: Update on Testing and Treatment. Karla Thornton, MD, MPH. Karla Thornton:
Hepatitis C: Update on Testing and Treatment Karla Thornton, MD, MPH Karla Thornton: Thank you all for inviting me. I m very excited to be here today. My name is Karla Thornton. I m a professor in the
More informationUPDATE ON NEW HEPATITIS C MEDICINES
UPDATE ON NEW HEPATITIS C MEDICINES Diana Sylvestre, MD 2014 AASLD/IDSA Guidelines: Gt 1 Treatment naïve Interferon eligible: sofosuvir + ribavirin + PEG-IFN x 12 weeks Interferon ineligible: sofosbuvir
More informationHEPATITIS C. The Facts. Get Tested. Get Cured! Health
HEPATITIS C The Facts Get Tested. Get Cured! Health EVEN IF YOU FEEL HEALTHY, HEPATITIS C MAY BE DAMAGING YOUR LIVER. Your liver keeps you healthy in many ways, such as by removing toxins from your blood
More informationHEPATITIS C (HCV) CME ACCREDITED INTERACTIVE TRAINING SESSION: @DDW 2015
CME ACCREDITED INTERACTIVE TRAINING SESSION: HEPATITIS C (HCV) @DDW 2015 LIVER DISEASE 905 891 1900 www.careeducation.ca info@careeducation.ca Community Academic Research Education @wearecare CME ACCREDITED
More informationHepatitis B and C Co-infection. Mark Hull MHSc, FRCPC Clinical Assistant Professor Division of AIDS
Hepatitis B and C Co-infection Mark Hull MHSc, FRCPC Clinical Assistant Professor Division of AIDS Objectives Review natural history of hepatitis coinfection Brief overview of treatment indications for
More informationTake Action Against Hepatitis C For People in Recovery From Mental Illness or Addiction
Take Action Against Hepatitis C For People in Recovery From Mental Illness or Addiction Attention treatment providers in behavioral health programs! This booklet is intended for use with clients who: Are
More informationLedipasvir and Sofosbuvir for 8 or 12 Weeks for Chronic HCV without Cirrhosis
Ledipasvir and Sofosbuvir for 8 or 12 Weeks for Chronic HCV without Cirrhosis Massachusetts Medical Society, April 2014 sponsored by Gilead Sciences 23.04.2014 Marie-Luise Lauterjung 1 Zweck der Studie
More informationInformation about. Hepatitis C. What is Hepatitis C? Who should be tested for Hepatitis C?
Information about Hepatitis C What is Hepatitis C? Hepatitis C is an infectious disease affecting the liver, caused by the Hepatitis C virus (HCV). Hepatitis C is now thought to be the most common cause
More informationHIV Pre-Exposure Prophylaxis (PrEP): A brief guide for providers updated January 2016
HIV Pre-Exposure Prophylaxis (PrEP): A brief guide for providers updated January 2016 Daily emtricitabine/tenofovir (Truvada ) is safe and effective for reducing the risk of HIV acquisition in sexually
More informationTreating Chronic Hepatitis C. A Review of the Research for Adults
Treating Chronic Hepatitis C A Review of the Research for Adults Is This Information Right for Me? Yes, this information is right for you if: Your doctor* has told you that you have chronic hepatitis C.
More informationRecommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965
Recommendations for the Identification of Chronic Hepatitis C virus infection Among Persons Born During 1945-1965 MMWR August 17, 2012 Prepared by : The National Viral Hepatitis Technical Assistance Center
More informationTechnology appraisal guidance Published: 25 November 2015 nice.org.uk/guidance/ta365
Ombitasvir paritaprevir ritonavir with or without dasabuvir for treating chronic hepatitis C Technology appraisal guidance Published: 25 November 2015 nice.org.uk/guidance/ta365 NICE 2015. All rights reserved.
More informationINITIATING ORAL AUBAGIO (teriflunomide) THERAPY
FOR YOUR PATIENTS WITH RELAPSING FORMS OF MS INITIATING ORAL AUBAGIO (teriflunomide) THERAPY WARNING: HEPATOTOXICITY AND RISK OF TERATOGENICITY Severe liver injury including fatal liver failure has been
More informationWhat does Hepatitis C mean to me as a CKD Patient?
What does Hepatitis C mean to me as a CKD Patient? Clinical Practice Guidelines for the Prevention, Diagnosis, Evaluation and Treatment of Hepatitis C in CKD Introduction Worldwide, about 170 million people
More informationHCV/HIVCo-infection A case study by. Dominic Côté, Nurse Clinician B.Sc Chronic Viral Illness Services McGill University Health Centre
HCV/HIVCo-infection A case study by Dominic Côté, Nurse Clinician B.Sc Chronic Viral Illness Services McGill University Health Centre Objectives By sharing a case study of a patient co-infected with HIV/HCV
More informationHepatitis Update. Study 110: SVR at post-treatment week 24 (SVR24) Jürgen Rockstroh, MD. No ART EFV/TDF/FTC ART/r/TDF/FTC Total
Hepatitis Update Jürgen Rockstroh, MD Study 11: SVR at post-treatment week 24 (SVR24) Patients with Undetectable HCV RNA (Percentage) 8 7 6 5 4 3 2 1 71 No ART EFV/TDF/FTC ART/r/TDF/FTC Total 69 8 74 n/n
More informationStandards of Practice for Pharmacists and Pharmacy Technicians
Standards of Practice for Pharmacists and Pharmacy Technicians Introduction These standards are made under the authority of Section 133 of the Health Professions Act. They are one component of the law
More informationSUPPORT PATH PROGRAM INTAKE FORM PHONE: 1-855-769-7284 FAX: 1-855-298-8700
SUPPORT PATH PROGRAM INTAKE FORM PHONE: 1-855-769-7284 FAX: 1-855-298-8700 1 REQUESTED SERVICE(S) (REQUIRED) CHECK ALL BOXES THAT APPLY Benefits Investigation Prior Authorization and Appeals Support Patient
More informationMIAMI DADE COLLEGE MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet
MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet Student Name (Print) Student Number The information in this 8 - page packet must
More informationLiver Disease & Hepatitis Program Providers: Brian McMahon, MD, Steve Livingston, MD, Lisa Townshend, ANP. Primary Care Provider:
Liver Disease & Hepatitis Program Providers: Brian McMahon, MD, Steve Livingston, MD, Lisa Townshend, ANP Primary Care Provider: If you are considering hepatitis C treatment, please read this treatment
More informationBloodborne Pathogens (HIV, HBV, and HCV) Exposure Management
Bloodborne Pathogens Exposure Policy and Procedures Employees of the State of South Dakota Department of Health Bloodborne Pathogens (HIV, HBV, and HCV) Exposure Management PEP Hotline 1-888-448-4911 DOH
More informationHow To Treat Hepatitis C
State HCV Treatment Guidelines - COLORADO COLORADO DEPARTMENT OF CORRECTIONS CLINICAL SERVICES CLINICAL STANDARD AND PROCEDURE FOR HEALTH CARE PROVIDERS Standard Title: Hepatitis C Gastroenterology Health
More informationEpidemiology of HCV and HIV/HCV Infection in Guangzhou, China. Title. Charles Wang, M.D.
Epidemiology of HCV and HIV/HCV Infection in Guangzhou, China Title Charles Wang, M.D. Background Hepatitis C infects 170 million worldwide & 3 million Chinese HIV infects 33.3 million worldwide & 740,000
More informationHOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA CONSENT TO PARTICIPATE IN A RESEARCH STUDY AND RESEARCH SUBJECT HIPAA AUTHORIZATION
CONSENT TO PARTICIPATE IN A RESEARCH STUDY AND RESEARCH SUBJECT HIPAA AUTHORIZATION Protocol Title: A5320/V-HICS, Version 2.0, 1/29/15: Viral Hepatitis C Infection Long-term Cohort Study (V-HICS) A DIVISION
More informationCADTH THERAPEUTIC REVIEW Drugs for Chronic Hepatitis C Infection: Recommendations Report
CADTH THERAPEUTIC REVIEW Drugs for Chronic Hepatitis C Infection: Recommendations Report Product Line: Therapeutic Review Version: 1.0 Volume Number: 3 Issue Number: 1d Publication Date: November 2015
More informationClinical Guidelines for the Medical Management of Hepatitis C
New York State Department of Health Clinical Guidelines for the Medical Management of Hepatitis C Condensed Version, Tables and Figures 2005 Risk Assessment and Screening Persons at increased risk for
More information