Procrit — Medica
Anemia in a patient with chronic kidney disease who is not on dialysis
Initial criteria
- Initial therapy: BOTH of the following: (i) ONE of the following: (a) age ≥ 18 years with hemoglobin < 10.0 g/dL; OR (b) age < 18 years with hemoglobin ≤ 11.0 g/dL; AND (ii) ONE of the following: (a) currently receiving iron therapy; OR (b) has adequate iron stores according to the prescriber
Reauthorization criteria
- Patient is currently receiving an erythropoiesis-stimulating agent AND BOTH of the following: (i) hemoglobin ≤ 12.0 g/dL; AND (ii) ONE of the following: (a) currently receiving iron therapy; OR (b) has adequate iron stores according to the prescriber
Approval duration
1 year