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RetacritCareFirst (Caremark)

Anemia in members who will not/cannot receive blood transfusions

Initial criteria

  • Member cannot receive blood transfusions (e.g., due to religious beliefs)
  • Pretreatment hemoglobin < 10 g/dL
  • Member assessed for iron deficiency anemia and has adequate iron stores (TSAT ≥ 20% within prior 3 months) or is receiving iron therapy
  • Member not using other erythropoiesis-stimulating agents concomitantly

Reauthorization criteria

  • After at least 12 weeks of ESA treatment, member must show a rise in hemoglobin ≥ 1 g/dL to continue therapy
  • Current hemoglobin < 12 g/dL

Approval duration

12 weeks