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National Government Services, Inc.
Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter

MMR-2008- 03AB, March 2008

Drug Articles Added to “Coverage of Drugs and Biologicals, for Label and Off-Label Uses” Effective March 1, 2008 Article Summary

Title: Drug Articles Added to “Coverage of Drugs and Biologicals, for Label and Off-Label Uses” Effective March 1, 2008
Article Summary:
Effective March 1, 2008, National Government Services added the articles listed below as attachments to the LCD for Coverage of Drugs and Biologicals for Label and Off-Label Uses (LCD ID #L25820). The articles can be found on the Centers for Medicare & Medicaid Services (CMS) Coverage Database and can be accessed on the National Government Services Web site by using the search function or by clicking on the links at the end of the local coverage determination (LCD) on the National Government Services Web site. These articles define current coverage by National Government Services. The articles will be updated in the event of changes in labeling for each drug, or if off-label use is approved by the contractor. Please refer to the LCD for complete information in requesting off-label approval for drugs.

Drug Name

Article Number

Alteplase Recombinant (e.g., Cathflo® Activase ®)

A46754

Fulvestrant

A46755

Infliximab (e.g., Remicade™)

A46764

Irinotecan Hydrochloride (e.g., Camptosar®)

A46757

Oxaliplatin (e.g., Eloxatin®)

A46756

Paclitaxel (e.g., Taxol®/Abraxane ™)

A46758

Pamidronate Disodium for Injection (e.g., Aredia®)

A46738

Tositumomab and Iodine I 131 Tositumomab (e.g., Bexxar®)

A46759

Vinorelbine Tartrate (e.g., Navelbine®)

A46778

Part B New York and Part A CT/DE/NY