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Erythropoiesis-Stimulating Agents: EPO


$

ERYTHOPOIESIS- STIMULATING AGENTS

for Anemia of Chronic Inflammation

for Kidney Disease and Dialysis


PRIOR AUTHORIZATION REQUIRED
FORMULARY

Coupon Category US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
US
Brand
Price
Prior
Authorization
Price
per unit
______________________________________________________ ________________________________________________
WalmartErythropoiesis Stimulating AgentsMircera® methoxy- polyethlene glycol-epoetin alfa50mcg/3ml #3 vials/vial$ 461.30 General Prior
Authorization
$461.30/ vial- dose

WalmartErythropoiesis Stimulating Agents Epogen®
XX
epoetin alfa10,000 units/ ml#10 1ml/vial$995.00
#50ml vial
20mg/ml
$1548.87Prior
Authorization
$154.89/ 10,000 unit dose
KrogerErythropoiesis Stimulating AgentsProcrit® epoetin alfa20,000mg #4 1ml/vial$1817.89 Prior
Authorization
$454.47/ 20,000 unit dose

WalmartErythropoiesis Stimulating agentsAranesp® XX epotein alfa40mcg/ 0.4ml #4 syringes/ 0.5ml$1158.79Prior
Authorization
$289.62/ dose
Not availableErythropoiesis Stimulating agentsOmontys® XX peginesatide10mg/ ml #1 vialGeneral Prior
Authorization
$?/ dose


RESEARCH FORMULARY- BEST PRICE
Coupon Category US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
US
Brand
Price
US
Generic Price
Indications Price
per unit
____________________________________________________________ __________________________________________________________
Research Protocol nandrolone/ stanozolol nandrolone nandrolone40-60mg to be determined #4 syringes
per month
$18.25- $50.00/ week
Research Protocol Onlynandrolone/ stanozolol stanozolol stanozolol15-25mg to be determined#4 syringes
per month
$18.25- $50.00/ week


NEUTROPENIA FORMULARY- BEST PRICE for LEUKOCYTE GROWTH FACTORS
Coupon Category US Brand
Name

Drug Info
Generic/
ingredient
Dosage Quantity Abroad
Brand Price
US
Brand
Price
US
Generic Price
Prior
Authorization
Price
per unit
______________________________________________________ ________________________________________________________
KrogerLeukocyte Growth Factors Neulasta®  pegfilgrastim6mg/ 0.6ml #1 Syringe $4758.89 Prior
Authorization
$4758.89/ vial

Kroger Leukocyte Growth Factors Neupogen® filgrastim300mcg/ 0.5ml #6 0.5ml Syringes $1951.94Prior
Authorization
$325.16/ syringe

Kroger Leukocyte Growth Factors Zarxio® filgrastim- sndz300mcg/ 0.5ml #12 0.5ml Syringes $3422.52General Prior
Authorization
-Biosimilar
filgrastim
WalmartLeukocyte Growth Factors Leukine® sargramostim GM-CSF250mcg #2 Vial$ 466.49 Prior
Authorization
$233.25/ vial

Kroger r-metHuG-CSFGranix® tbo-filgrastim300mcg/ 0.5ml #10 0.8ml Syringes $4038.77Prior
Authorization
$403.88/ syringe


Observation:
Conversion Table: Dosage Range of Therapeutic Medications.
1. Epogen® is equivalent and cheapest and is preferred.

2. Nandrolone may reduce the need for Erythropoiesis Stimulating Agents (EPO) necessary to keep the patient's hemoglobin above the federally mandated 11g/dl. In approximately half of elderly patients, use of 50mg of nandrolone in women and 100mg in men may eliminate the need for EPO agents altogether. The use of nandrolone is associated with an increased feeling of well-being and may increase muscle strength. In conclusion, "This meta-analysis revealed no difference between nandrolone and EPO for the treatment of anaemia of CKD in men over 50 years".

3. This is separate from the consideration of testosterone replacement in elderly men. Morganthaler and others in Commentary: Who Is a Candidate for Testosterone Therapy? A Synthesis of International Expert Opinions. goes so far as to recommend testosterone replacement in some men with prostate cancer. Before this extreme, the consensus is that anabolic therapy should become the drug of choice for men before and with the development of osteoporosis.

4. The consensus for aging women is that replacement should include estradiol and an androgren.The current evidence suggests that "estradiol plays a greater role in maintenance of skeletal health than testosterone [in women], but that androgens also have direct beneficial effects on bone."


KEYWORDS: Procrit®, Epogen®, Aranesp®, epoetin alfa, Rx nadrolone, Rx Neulasta, Rx pegfilgrastim, Rx Neupogen, Rx filgrastim, Rx Leukine, Rx sargramostim, Rx Granix, Rx tbo-filgrastim, Rx filgrastim-sndz, buy, BUY

XX Drugs Excluded by Express Scripts of Caremark effective January 2015

Copyrighted® 2014: Revised May 1, 2015; prices may vary