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20150105

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UWHC,

Patient Services,

Patient Resources,Social Work Services Quick Guide,Social Work Manual,Population Specific,Transplant,Kidney Transplant,Financial

Medication Coverage and Assistance: Anti-Rejection Rx

Medication Coverage and Assistance: Anti-Rejection Rx - Patient Resources, Social Work Services Quick Guide, Social Work Manual, Population Specific, Transplant, Kidney Transplant, Financial

Focus

Anti-Rejection Medications

 

Medicare B

MA

SeniorCare

1 & 2a

SeniorCare

2b & 3

WCRD

BC+ Standard

BC+

Core

BC+

Basic

BC+

Benchmark

Prednisone

00143.1473.10

80%

Cyclosporine/Neoral

00078.0248.15

80%

     

Cyclosporine/Gengraf

00074.6479.32

80%

Cyclosporine/Sandimmune

00078.0109.01

80%

     

Everolimus/Zortress

0078.0417.20 (0.25mg)

0078.0414.20 (0.5mg)

0078.0415.20 (0.75mg)

80%

     

Hecoria

00078061605 (0.5mg)

00078061705 (1mg)

00078061805 (1.5mg)

80%

 

Mycophenolate/Myfortic

00078.0386.66

80%

   

Mycophenolate/Cellcept

00004.0260.43

80%

 

     

Sirolimus/Rapamune

00008.1041.05

80%

   

Tacrolimus/Prograf

00469.0607.73

80%

     

Tacrolimus (Generic)

00781.2103.01

80%

Prednisone

Astragraf

Cyclosporine/Neoral

Cyclosporine/Gengraf

Cyclosporine/Sandimmune

Everolimus/Zortress

Mycophenolate/Myfortic

Mycophenolate/Cellcept

Sirolimus/Rapamune

Tacrolimus/Hecoria

Note: the production of Hecoria will end December 31, 2014. Patients will need to be switched to Astragraf.

Tacrolimus/Prograf

Resources

Co-pay and Insurance Payment Assistance