Resource Services. this service are based on the foundation that certain facilities treat patients who consistently achieve favorable clinical outcomes, as demonstrated by reduced hospital lengths of stay and readmission rates, lower infection rates, etc. Programs are typically designed around specific disease states or conditions in which COEs can be clearly identified. The following programs develop national XXX networks and specialty nurse resources that provide specific case management interventions: 1 The actual program names, specific services/processes, and administration will vary by medical vendor. - Bariatric Resource Services (BRS) - BRS provides a national Center of Excellence network of bariatric surgery centers and hospitals with an upfront case management component. - Cancer Resource Services (CRS)/Cancer Support Program (CSP) - This clinical consulting with cancer specialists, combined with an extensive nationwide XXX network will deliver clinical and financial value. - Kidney Resource Services (KRS) – KRS provides a large network of dialysis facilities meeting strict quality outcomes with kidney nurse specialists assisting patients. Treatment Decision Support (TDS) – These services include enhanced one- to-one coaching for individuals facing potential procedures that have been carefully targeted as having varied treatment practices and inconsistent patient outcomes. TDS normally targets back pain, knee/hip replacement, benign prostate disease, prostate cancer, benign uterine conditions, hysterectomy, breast cancer, coronary artery disease and bariatric surgery. Exhibit C - Drugs for Coverage Authorization and Step Therapy Rules 1/ Therapeutic Drug Category Drugs Specialty Drugs Gout Therapy Uloric® Krystexxa™ Rheumatological (RA Agents) Actemra® Arava® Cimzia® Enbrel® Humira Kineret Orencia Remicade Rituxan Simponi™ Misc Agents Benlysta® Savella® Erythroid Stimulants Aranesp® Epogen® Procrit® Growth Hormones Egrifta™ Genotropin® Geref® Humatrope® Increlex™ IPlex™ Norditropin® Nutropin® Omnitrope® Saizen® Serostim® Tev-Tropin,® Zorbtive® Interferons Actimmune® Alferon-N® Infergen® Intron-A® Pegasys Peg-Intron® Roferon® Interleukins Arcalyst™ Ilaris® Multiple Sclerosis Therapy Amypra™ Avonex® Betaseron® Copaxone® Extavia® GilenyaTM Novantrone® Rebif® Tysabri ® Myeloid Stimulants and Hemostatics Leukine® Neulasta Neumega® Neupogen® Nplate™ Promacta® Vaccines & Misc Immunologicals Botox® Dysport™ Myobloc™ Xeomin® Vaccines & Misc Immunologicals (Immune Globulins) Carimune NF® Flebogamma DIF® Gammagard® Gammagard S-D® Gammaplex® Gamimune- N® Gamunex® Gamunex-C® Hizentra™ Privigen™ Vivaglobin® Dermatologicals - Psoriasis Amevive Stelara Cancer Therapy Afinitor® Avastin® Dacogen™ Erbitux® Gleevec Halaven™ Herceptin Istodax Jevtana Nexavar® Sprycel® Sutent® Tarceva™ Tasigna® Temodar® Torisel™ Tykerb® Vectibix™ Vidaza® Votrient™ Zolinza™ Zytiga™ Cancer Therapy (Misc.) Mozobil™ Therapeutic Drug Category Drugs Cancer Therapy (Misc.) Xgeva™ Misc Antineoplastic Agents Arimidex® Aromasin® Femara® Misc Antineoplastic Agents Revlimid® Thalomid® Antivirals (Ribavirin Therapy) Copegus Rebetol Ribatab HIV/AIDS Therapy Selzentry™ RSV Agents Synagis® Xxxxxxxxx'x Apokyn Hormone Therapy (Misc.) Acthar® Gel Sensipar Misc Agents Soliris™ Misc Neurological Therapy Nuedexta™ Xenazine® Hormone Therapy (Misc.) Zavesca Hormone Therapy (Misc.) VprivTM Cerezyme® Hormone Therapy (Misc.) Samsca™ Hormone Therapy (Misc.) Kuvan™ Somavert® Non-Narcotic Pain Relief (Hyaluronic Acid Derivatives) Euflexxa™ Hyalgan® Orthovisc® Supartz® Synvisc® Lupus Benlysta Hepatitis C Boceprevir, Telaprevir Misc. Pulmonary Agents Berinert® Cinryze™ Kalbitor® Xolair® Misc. Pulmonary Agents Cayston® TOBI®
Appears in 2 contracts
Samples: Mediation Agreement, Mediation Agreement
Resource Services. this service are based on the foundation that certain facilities treat patients who consistently achieve favorable clinical outcomes, as demonstrated by reduced hospital lengths of stay and readmission rates, lower infection rates, etc. Programs are typically designed around specific disease states or conditions in which COEs can be clearly identified. The following programs develop national XXX networks and specialty nurse resources that provide specific case management interventions: 1 The actual program names, specific services/processes, and administration will vary by medical vendor. - Bariatric Resource Services (BRS) - BRS provides a national Center of Excellence network of bariatric surgery centers and hospitals with an upfront case management component. - Cancer Resource Services (CRS)/Cancer Support Program (CSP) - This clinical consulting with cancer specialists, combined with an extensive nationwide XXX network will deliver clinical and financial value. - Kidney Resource Services (KRS) – KRS provides a large network of dialysis facilities meeting strict quality outcomes with kidney nurse specialists assisting patients. Treatment Decision Support (TDS) – These services include enhanced one- one-to-one coaching for individuals facing potential procedures that have been carefully targeted as having varied treatment practices and inconsistent patient outcomes. TDS normally targets back pain, knee/hip replacement, benign prostate disease, prostate cancer, benign uterine conditions, hysterectomy, breast cancer, coronary artery disease and bariatric surgery. 1 The actual program names, specific services/processes, and administration will vary by medical vendor. Exhibit C - Drugs for Coverage Authorization and Step Therapy Rules 1/ Therapeutic Drug Category Drugs Specialty Drugs Gout Therapy Uloric® Krystexxa™ Rheumatological (RA Agents) Actemra® Arava® Cimzia® Enbrel® Humira Kineret Humira® Kineret® Orencia Remicade ® Remicade® Rituxan ® Simponi™ Misc Agents Benlysta® Savella® Erythroid Stimulants Aranesp® Epogen® Procrit® Growth Hormones Egrifta™ Genotropin® Geref® Humatrope® Increlex™ IPlex™ Norditropin® Nutropin® Omnitrope® Saizen® Serostim® Tev-Tropin,® Zorbtive® Interferons Actimmune® Alferon-N® Infergen® Intron-A® Pegasys Pegasys® Peg-Intron® Roferon® Interleukins Arcalyst™ Ilaris® Multiple Sclerosis Therapy Amypra™ Avonex® Betaseron® Copaxone® Extavia® GilenyaTM Novantrone® Rebif® Tysabri ® Myeloid Stimulants and Hemostatics Leukine® Neulasta Neulasta® Neumega® Neupogen® Nplate™ Promacta® Vaccines & Misc Immunologicals Botox® Dysport™ Myobloc™ Xeomin® Vaccines & Misc Immunologicals (Immune Globulins) Carimune NF® Flebogamma DIF® Gammagard® Gammagard S-D® Gammaplex® Gamimune- N® Gamunex® Gamunex-C® Hizentra™ Privigen™ Vivaglobin® Dermatologicals - Psoriasis Amevive Stelara Amevive® Stelara® Therapeutic Drug Category Drugs Cancer Therapy Afinitor® Avastin® Dacogen™ Erbitux® Gleevec Gleevec® Halaven™ Herceptin Istodax Jevtana Herceptin® Istodax® Jevtana® Nexavar® Sprycel® Sutent® Tarceva™ Tasigna® Temodar® Torisel™ Tykerb® Vectibix™ Vidaza® Votrient™ Zolinza™ Zytiga™ Cancer Therapy (Misc.) Mozobil™ Therapeutic Drug Category Drugs Cancer Therapy (Misc.) Xgeva™ Misc Antineoplastic Agents Arimidex® Aromasin® Femara® Misc Antineoplastic Agents Revlimid® Thalomid® Antivirals (Ribavirin Therapy) Copegus Rebetol Ribatab Copegus® Rebetol® Ribatab® HIV/AIDS Therapy Selzentry™ RSV Agents Synagis® Xxxxxxxxx'x Apokyn Hormone Therapy (Misc.) Acthar® Gel Sensipar Sensipar® Misc Agents Soliris™ Misc Neurological Therapy Nuedexta™ Xenazine® Hormone Therapy (Misc.) Zavesca Zavesca® Hormone Therapy (Misc.) VprivTM Cerezyme® Hormone Therapy (Misc.) Samsca™ Hormone Therapy (Misc.) Kuvan™ Somavert® Therapeutic Drug Category Drugs Non-Narcotic Pain Relief (Hyaluronic Acid Derivatives) Euflexxa™ Hyalgan® Orthovisc® Supartz® Synvisc® Lupus Benlysta Hepatitis C Boceprevir, Telaprevir Misc. Pulmonary Agents Berinert® Cinryze™ Kalbitor® Xolair® Misc. Pulmonary Agents Cayston® TOBI®
Appears in 1 contract
Samples: Mediation Agreement
Resource Services. this service are based on the foundation that certain facilities treat patients who consistently achieve favorable clinical outcomes, as demonstrated by reduced hospital lengths of stay and readmission rates, lower infection rates, etc. Programs are typically designed around specific disease states or conditions in which COEs can be clearly identified. The following programs develop national XXX networks and specialty nurse resources that provide specific case management interventions: 1 The actual program names, specific services/processes, and administration will vary by medical vendor. - Bariatric Resource Services (BRS) - BRS provides a national Center of Excellence network of bariatric surgery centers and hospitals with an upfront case management component. - Cancer Resource Services (CRS)/Cancer Support Program (CSP) - This clinical consulting with cancer specialists, combined with an extensive nationwide XXX network will deliver clinical and financial value. - Kidney Resource Services (KRS) – KRS provides a large network of dialysis facilities meeting strict quality outcomes with kidney nurse specialists assisting patients. Treatment Decision Support (TDS) – These services include enhanced one- toone-to- one coaching for individuals facing potential procedures that have been carefully targeted as having varied treatment practices and inconsistent patient outcomes. TDS normally targets back pain, knee/hip replacement, benign prostate disease, prostate cancer, benign uterine conditions, hysterectomy, breast cancer, coronary artery disease and bariatric surgery. Exhibit C - Drugs for Coverage Authorization and Step Therapy Rules 1/ Therapeutic Drug Category Drugs Specialty Drugs Gout Therapy Uloric® Krystexxa™ Rheumatological (RA Agents) Actemra® Arava® Cimzia® Enbrel® Humira Kineret Humira Kineret® Orencia Remicade Remicade Rituxan Simponi™ Misc Agents Benlysta® Savella® Erythroid Stimulants Aranesp® Epogen® Procrit® Growth Hormones Egrifta™ Genotropin® Geref® Humatrope® Increlex™ IPlex™ Norditropin® Nutropin® Omnitrope® Saizen® Serostim® Tev-Tropin,® Zorbtive® Interferons Actimmune® Alferon-N® Infergen® Intron-A® Pegasys Pegasys Peg-Intron® Roferon® Interleukins Arcalyst™ Ilaris® Multiple Sclerosis Therapy Amypra™ Avonex® Betaseron® Copaxone® Extavia® GilenyaTM Novantrone® Rebif® Tysabri ® Myeloid Stimulants and Hemostatics Leukine® Neulasta Neulasta® Neumega® Neupogen® Nplate™ Promacta® Vaccines & Misc Immunologicals Botox® Dysport™ Myobloc™ Xeomin® Vaccines & Misc Immunologicals (Immune Globulins) Carimune NF® Flebogamma DIF® Gammagard® Gammagard S-D® Gammaplex® Gamimune- N® Gamunex® Gamunex-C® Hizentra™ Privigen™ Vivaglobin® Dermatologicals - Psoriasis Amevive Stelara Amevive® Stelara® Cancer Therapy Afinitor® Avastin® Dacogen™ Erbitux® Gleevec Gleevec® Halaven™ Herceptin Istodax Jevtana Herceptin® Istodax® Jevtana® Nexavar® Sprycel® Sutent® Tarceva™ Tasigna® Temodar® Torisel™ Tykerb® Vectibix™ Vidaza® Votrient™ Zolinza™ Zytiga™ Cancer Therapy (Misc.) Mozobil™ Therapeutic Drug Category Drugs Cancer Therapy (Misc.) Xgeva™ Therapeutic Drug Category Drugs Misc Antineoplastic Agents Arimidex® Aromasin® Femara® Misc Antineoplastic Agents Revlimid® Thalomid® Antivirals (Ribavirin Therapy) Copegus Rebetol Ribatab Copegus Rebetol Ribatab HIV/AIDS Therapy Selzentry™ RSV Agents Synagis® Xxxxxxxxx'x Apokyn Hormone Therapy (Misc.) Acthar® Gel Sensipar Sensipar® Misc Agents Soliris™ Misc Neurological Therapy Nuedexta™ Xenazine® Hormone Therapy (Misc.) Zavesca Zavesca Hormone Therapy (Misc.) VprivTM Cerezyme® Hormone Therapy (Misc.) Samsca™ Hormone Therapy (Misc.) Kuvan™ Somavert® Non-Narcotic Pain Relief (Hyaluronic Acid Derivatives) Euflexxa™ Hyalgan® Orthovisc® Supartz® Synvisc® Lupus Benlysta Hepatitis C Boceprevir, Telaprevir Misc. Pulmonary Agents Berinert® Cinryze™ Kalbitor® Xolair® Misc. Pulmonary Agents Cayston® TOBI®
Appears in 1 contract
Samples: Agreement
Resource Services. this service are based on the foundation that certain facilities treat patients who consistently achieve favorable clinical outcomes, as demonstrated by reduced hospital lengths of stay and readmission rates, lower infection rates, etc. Programs are typically designed around specific disease states or conditions in which COEs can be clearly identified. The following programs develop national XXX networks and specialty nurse resources that provide specific case management interventions: 1 The actual program names, specific services/processes, and administration will vary by medical vendor. - Bariatric Resource Services (BRS) - BRS provides a national Center of Excellence network of bariatric surgery centers and hospitals with an upfront case management component. - Cancer Resource Services (CRS)/Cancer Support Program (CSP) - This clinical consulting with cancer specialists, combined with an extensive nationwide XXX network will deliver clinical and financial value. - Kidney Resource Services (KRS) – KRS provides a large network of dialysis facilities meeting strict quality outcomes with kidney nurse specialists assisting patients. Treatment Decision Support (TDS) – These services include enhanced one- to-one coaching for individuals facing potential procedures that have been carefully targeted as having varied treatment practices and inconsistent patient outcomes. TDS normally targets back pain, knee/hip replacement, benign prostate disease, prostate cancer, benign uterine conditions, hysterectomy, breast cancer, coronary artery disease and bariatric surgery. Exhibit C - Drugs for Coverage Authorization and Step Therapy Rules 1/ Therapeutic Drug Category Drugs Specialty Drugs Gout Therapy Uloric® Krystexxa™ Rheumatological (RA Agents) Actemra® Arava® Cimzia® Enbrel® Humira Kineret Humira® Kineret® Orencia Remicade ® Remicade® Rituxan ® Simponi™ Misc Agents Benlysta® Savella® Erythroid Stimulants Aranesp® Epogen® Procrit® Growth Hormones Egrifta™ Genotropin® Geref® Humatrope® Increlex™ IPlex™ Norditropin® Nutropin® Omnitrope® Saizen® Serostim® Tev-Tropin,® Zorbtive® Interferons Actimmune® Alferon-N® Infergen® Intron-A® Pegasys Pegasys® Peg-Intron® Roferon® Interleukins Arcalyst™ Ilaris® Multiple Sclerosis Therapy Amypra™ Avonex® Betaseron® Copaxone® Extavia® GilenyaTM Novantrone® Rebif® Tysabri ® Myeloid Stimulants and Hemostatics Leukine® Neulasta Neulasta® Neumega® Neupogen® Nplate™ Promacta® Vaccines & Misc Immunologicals Botox® Dysport™ Myobloc™ Xeomin® Vaccines & Misc Immunologicals (Immune Globulins) Carimune NF® Flebogamma DIF® Gammagard® Gammagard S-D® Gammaplex® Gamimune- N® Gamunex® Gamunex-C® Hizentra™ Privigen™ Vivaglobin® Dermatologicals - Psoriasis Amevive Stelara Amevive® Stelara® Cancer Therapy Afinitor® Avastin® Dacogen™ Erbitux® Gleevec Gleevec® Halaven™ Herceptin Istodax Jevtana Herceptin® Istodax® Jevtana® Nexavar® Sprycel® Sutent® Tarceva™ Tasigna® Temodar® Torisel™ Tykerb® Vectibix™ Vidaza® Votrient™ Zolinza™ Zytiga™ Cancer Therapy (Misc.) Mozobil™ Therapeutic Drug Category Drugs Cancer Therapy (Misc.) Xgeva™ Misc Antineoplastic Agents Arimidex® Aromasin® Femara® Misc Antineoplastic Agents Revlimid® Thalomid® Antivirals (Ribavirin Therapy) Copegus Rebetol Ribatab Copegus® Rebetol® Ribatab® HIV/AIDS Therapy Selzentry™ RSV Agents Synagis® Xxxxxxxxx'x Apokyn Hormone Therapy (Misc.) Acthar® Gel Sensipar Sensipar® Misc Agents Soliris™ Misc Neurological Therapy Nuedexta™ Xenazine® Hormone Therapy (Misc.) Zavesca Zavesca® Hormone Therapy (Misc.) VprivTM Cerezyme® Hormone Therapy (Misc.) Samsca™ Hormone Therapy (Misc.) Kuvan™ Somavert® Non-Narcotic Pain Relief (Hyaluronic Acid Derivatives) Euflexxa™ Hyalgan® Orthovisc® Supartz® Synvisc® Lupus Benlysta Hepatitis C Boceprevir, Telaprevir Misc. Pulmonary Agents Berinert® Cinryze™ Kalbitor® Xolair® Misc. Pulmonary Agents Cayston® TOBI®
Appears in 1 contract
Samples: Mediation Agreement