WebFeb 18, 2024 · Requests for Asparlas (calaspargase pegol-mknl) may not be approved if above criteria are not met and for all other indications. ... Added HCPCS code J9118 for Asparlas. • 05/17/2024– Annual Review: First review of asparaginase specific enzymes. Add new contraindication to Oncaspar criteria. Add references for off label indications. WebOct 8, 2024 · Asparlas J9118 Azedra (diagnostic and therapeutic) A9590 Bavencio J9023 Beleodaq J9032 Belrapzo J9036 Bendeka J9034 Benlysta J0490 Berinert J0597 Besponsa J9229 Blenrep NOC Drug Name HCPCS Code Blincyto J9039 Brineura J0567 Cablivi C9047 Cerezyme J1786 Chorionic Gonadotropin J0725 Cimzia J0717 Cinqair J2786 …
Calaspargase pegol-mknl (Asparlas Place of Service TM Office ...
WebHCPCS: See Below . Policy: Requests must be supported by submission of chart notes and patient specific documentation. A. Criteria: a. Coverage of the requested drugis provided for FDA approved indications ... Asparlas, Doxil, Evomela, Imlygic, Istodax, Ixempra, Lipodox, Mylotarg, Portrazza, and Zepzelca 3.4 Effective Date: 01/01/2024 WebThe FDA approved ASPARLAS based on evidence primarily from two clinical trials (Trial 1/NCT01574274 and Trial 2/AALL07P4) of 237 patients with acute lymphoblastic leukemia (ALL). The trials were ... islanders santa fight
Asparlas (Calaspargase Pegol-mknl Injection): Uses, Dosage ... - RxList
WebOct 13, 2024 · Asparlas is indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of acute lymphoblastic leukemia (ALL) in pediatric and young … WebHCPCS Code. J9118. Injection, calaspargase pegol-mknl, 10 units. Drugs administered other than oral method, chemotherapy drugs. J9118 is a valid 2024 HCPCS code for … WebDec 19, 2024 · Do not administer if ASPARLAS has been shaken or vigorously agitated, frozen, or stored at room temperature for more than 48 hours. Dilute ASPARLAS in 100 mL of 0.9% Sodium Chloride Injection, USP or 5% Dextrose Injection, USP using sterile/aseptic technique. Discard any unused portion left in a vial. islanders salary cap