octreotide acetate immediate-release injection — Medica
Diarrhea associated with chemotherapy
Initial criteria
- Patient has Grade 3 or Grade 4 diarrhea; AND
- Patient has tried at least one antimotility medication (e.g., loperamide, diphenoxylate); AND
- Medication is prescribed by or in consultation with an oncologist or gastroenterologist.
Approval duration
3 months