WebASPARLAS safely and effectively. See full prescribing information for ASPARLAS. ASPARLAS™ (calaspargase pegol - mknl) injection, for intravenous use Initial U.S. Approval: 2024 . INDICATIONS AND USAGE. ASPARLAS is an asparagine specific enzyme indicated as a component of a multi-agent chemotherapeutic regimen for the … Webtimes the upper limit of normal: Hold Asparlas until Total bilirubin levels go down to ≤ 1.5 times the upper limit of normal Total bilirubin more than 10 times the upper limit of …
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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 WebApr 4, 2024 · Asparlas 3,750 units per 5 mL single-dose vial: 2 vials every 21 days B. Max Units (per dose and over time) [HCPCS Unit]: 750 billable units (2 vials) per 21 days III. … halloween funny memes
NDC 72694-515-01 Asparlas Injection, Solution Intravenous
WebHCPCS J Code HCPCS Description Generic Name Latest Label Name J9354 Ado-trastuzumab emt inj, 1 MG Ado-Trastuzumab Emtansine KADCYLA 160 MG VIAL ... Calaspargase Pegol-Mknl ASPARLAS 3,750 UNIT/5 ML VIAL J9045 Carboplatin inj, 50 MG Carboplatin PARAPLATIN 600 MG/60 ML VIAL J9047 Carfilzomib inj, 1 MG Carfilzomib … WebDec 19, 2024 · 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. After dilution, administer immediately into a running infusion of either 0.9% sodium chloride or 5% dextrose, respectively. WebApr 21, 2024 · • 02/21/2024– Annual Review: Roll in criteria from ING-CC-0138 Asparlas (calaspargase pegol-mknl). No changes to criteria. Coding Reviewed: 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 ... halloween funny outfits