DRUGS
Also known as Abraxane, this is the J-code for albumin-bound paclitaxel.
What is J9264?
This form of treatment uses medicines or drugs to treat cancer.
What is chemotherapy?
This type of cancer suppresses the production of red blood cells.
What is leukemia?
This drug category may require prior authorization with insurances; however patients are allowed to start these drugs at MSK while auth is pending.
What are non-restricted drugs?
This person is the current CEO of MSK.
Who is Dr. Selwyn Vickers?
This drug is used to treat neutropenia after a cycle of chemotherapy.
What is Pegfilgrastim?
These treatment options give patients access to experimental medicines that may not yet be FDA/NCCN approved.
What are clinical trials?
This type of cancer starts in certain types of skin cells.
What is melanoma?
These two entities dictate approved indications for cancer medications for Medicare/Medicaid-insured patients.
What are the FDA and NCCN?
This is the month in which most commercial health plans renew their policies.
What is January?
This drug is the preferred product for IVIG at MSK.
What is Gamunex-C?
This type of treatment uses high-energy particles or waves to destroy or damage cancer cells.
What is radiation therapy?
This cancer is not usually associated with men because many people do not realize that men have the same kind of tissue as women.
What is breast cancer?
This web portal is used to submit chemo PA requests for Fidelis, Emblem, and Wellcare members.
What is Evolent?
This person has worked in several roles in PFS, including Specialist, Patient Financial Navigator, and Group Lead
Who is Meghan Taddeo?
This drug has a standing admin clear workflow if a patient has an allergic reaction to Paclitaxel.
What is Abraxane?
A procedure that can stop some chemotherapy drugs from affecting your hair follicles.
What is Scalp Cooling?
This is what the “ST” in STGI stands for.
What is solid tumor?
This team initiates manufacturer assistance program applications once a Financial Assistance tracker is created by PFS.
What is the PFS CoPay Assistance team?
This person is an MD in the STGI service and also the Chemo Medical Director at MSK.
Who is Dr. Leonard Saltz?
These are the two brand names for denosumab, which also have the same J-code.
What are Xgeva and Prolia?
This type of therapy indicates that the patient has already had surgery before receiving chemo.
What is adjuvant chemotherapy?
This Medical Oncology Service is focused the treatment of conditions affecting the chest cavity and its organs.
What is Thoracic Medicine?
This is the referral status and status reason used when a patient is admin cleared to start a drug while auth is pending with the insurance.
What is Authorized + Medically Cleared (Auth Pending)?
This insurance may approve 1-3 cycles of certain chemotherapies for onsite administration at MSK, and then transition patients to home infusion.
Horizon BCBS