Specialty Pharmacy Conditions Matrix

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Diseases/ Conditions Medications Utilization Management Program Collaborative Fulfillment Program Condition Education Program Medication Compliance Program Clinical Management Program Specialized Member Resources Additional Resources
Anemia:
  • Chronic Kidney Disease (CKD)
  • Dialysis (Renal)
Description: Chronic inflammatory disorder of the airways
ARANESP
EPOGEN
PROCRIT
check mark check mark check mark check mark  

Online Anemia Information

 

Anemia Handout

National Anemia Action Council (NAAC)
Website: www.anemia.org
Phone: 414.225.0138
Address: 555 E. Wells St #100 Milwaukee, WI 53202

American Cancer Society (ACS)
Website: www.cancer.org
Phone: 1.800.ACS.2345

National Kidney Foundation (NKF)
Website: www.kidney.org
Phone: 1.800.622.9010 or 212.889.2210
Address: 30 East 33rd Street New York, NY 10016
Asthma XOLAIR check mark check mark check mark check mark   Online Asthma Information National Heart Lung and Blood Institute
Website: www.nhlbi.nih.gov
health/public/lung/index.htm


Allergy And Asthma Network
Website: www.aanma.org

Asthma and Allergy Foundation of America
Website: www.aafa.org
Blood Disorders - thrombocytopenia NEUMEGA
NPLATE
PROMACTA
check mark check mark check mark check mark   Online Blood Disorder Information  
Cancer/Chemotherapy MITOMYCIN
MUSTARGEN
MYLOTARG
NEOSAR
NEXAVAR
NIPENT
NOVANTRONE
ONCASPAR
ONTAK
PACLITAXEL
PARAPLATIN
PHOTOFRIN
PROLEUKIN
REVLIMID
RITUXAN
SPRYCEL
SUTENT
TABLOID
TARCEVA
TASIGNA
TAXOL
TAXOTERE
TEMODAR
THALOMID
THIOTEPA
TICE BCG
TORISEL
TRETINOIN
TRISENOX
TYKERB
VANTAS
VECTIBIX
VELCADE
VESANOID
VIDAZA
VINBLASTINE SULFATE
VINCRISTINE SULFATE
VINORELBINE TARTRATE
VUMON
XELODA
ZANOSAR
ZINECARD
ZOLADEX
ZOLINZA
check mark check mark check mark check mark check mark

Online Cancer Information

Oral Oncology Handout

American Cancer Society
Website: www.cancer.org
Phone: 1.800.ACS.2345

Clinical Trials.gov
Website: www.clinicaltrials.gov

John Hopkins Cancer Information Center
(John Hopkins Kimmel Cancer Center)
Website: www.
hopkinskimmelcancercenter.org

Phone: 410.955.5222

MedlinePlus
Website: www.nlm.nih.gov/
medlineplus/cancers.html

Address: 8600 Rockville Pike, Bethesda, MD 20894

National Cancer Institute
Website: www.cancer.gov
LiveHelp (online assistance): https://
cissecure.nci.nih.gov/livehelp/
welcome.asp#

Phone: 1.800.4.CANCER (1.800.422.6237)

National Coalition for Cancer Survivorship
Website: www.canceradvocacy.org
Phone: 1.888.650.9127

National Comprehensive Cancer Network
Website: www.nccn.org
Phone: 215.690.0300
Crohn's Disease

Description: An Auto-immune - bowel disorder in which part of the digestive tract becomes inflamed
CIMZIA
Humira
Remicade
Tysabri
check mark check mark check mark check mark   Online Crohn's Disease Information
Spondylitis Association of America
Website: www.spondylitis.org
Phone: 1.800. 777.8189

The Arthritis Foundation
Website: www.arthritis.org
Phone: 1.800.568.4045

The American College of Rheumatology
Website: www.rheumatology.org
Phone: 404.633.3777

Cimplicity Support Program for Cimzia
Website: www.cimzia.com
Phone: 1.866.4.CIMZIA (1.866.424.6942)

Enliven Services for Enbrel
Website: www.enbrel.com
Phone: 1.888.4ENBREL (1.888.436.2735)

Humira
Website: www.humira.com
Phone: 1.800.448.6472

Kineret Hands On Program for Kineret
Website: www.KineretRx.com
Phone: 1.866.KINERET (1.866.546.3738)

Orencia, The Circle Program
Website: www.orencia.com
Phone: 1.800.ORENCIA (1.800.673.6242)

Remicade
Website: www.remicade.com
Website: www.RAStraightTalk.com

Rituxan
RISE Support line: 1.877.4.RITUXAN (1.877.474.8892)
Cystic Fibrosis PULMOZYME
TOBI
check mark check mark check mark check mark  

Online Cystic Fibrosis Information

Cystic Fibrosis Handout

Cystic Fibrosis Foundation
Website: www.cff.org
Phone: 1.800.FIGHT.CF (800.344.4823)
Address: 6931 Arlington Road Bethesda, Maryland 20814

The Cystic Fibrosis Center at Stanford
Website: www.cfcenter.stanford.edu
Phone: 650. 723.5191
Address: 770 Welch Road, Suite 305 Palo Alto, CA 94304

MedlinePlus
Website: www.nlm.nih.gov/medlineplus/
cysticfibrosis.html


Mayo Clinic
Website: www.mayoclinic.com/health/
cystic-fibrosis/DS00287

Cytomegalovirus Vaccines CYTOGAM check mark check mark check mark check mark   Online Cytomegalovirus Information  
Dystonia or
NEUROMUSCULAR BLOCKING AGENTS
BOTOX
Dysport
MYOBLOC
check mark check mark check mark check mark   Not Available  
Endocrine and Metabolic Agents

Description: A genetic disorder that causes mucus in the body to become thick, dry, and sticky causing problems in organs, especially the lungs and the pancreas.
OCTREOTIDE
SANDOSTATIN
SANDOSTATIN LAR
SOMATULINE
check mark check mark check mark check mark   Sandostatin Handout Acromegaly Information:
  • The Pituitary Network Association (PNA) is an international non-profit organization for patients with pituitary tumors and disorders.
Website: www.pituitary.org
Phone: 805.499.9973

Taking control of Acromegaly. A Patient?s Guide to the Disease and Its Treatment.
Website: www.us.sandostatin.com/
Carcinoid Cancer and VIPoma Information:
Carcinoid Cancer Foundation, Inc.
Website: www.carcinoid.org
Phone: 212.722.3132

National Cancer Institute
Website: www.cancer.gov
Phone: 1.800.4.CANCER
Enzyme Replacement:
  • Alpha 1
  • Hunter's Syndrome
  • Gaucher Disease
Description: A protein deficiency affecting liver and lungs
ADAGEN
ALDURAZYME
ARALAST
FABRAZYME
KUVAN
MYOZYME
NAGLAZYME
ORFADIN
PROLASTIN
ZEMAIRA
ELAPRASE
CEREDASE
CEREZYME
ZAVESCA
check mark check mark check mark check mark   Online Alpha-1 Antitrypsin Information
 
Growth Hormone & Related Disorders

Description: When a person's body does not make enough growth hormone
GENOTROPIN
HUMATROPE
INCRELEX
NORDITROPIN
NORDITROPIN NORDIFLEX
NUTROPIN
OMNITROPE
SAIZEN
SEROSTIM
SOMAVERT
TEV-TROPIN
ZORBTIVE
check mark check mark check mark check mark  

Online Growth Hormone Deficiency Information

Growth Hormone Handout

Somavert Handout

Human Growth Foundation
Website: www.hgfound.org

The Magic Foundation
Website: www.magicfoundation.org

The Hormone Foundation
Website: www.hormone.org
Hemophilia & Related Bleeding Disorders

Description: A genetic bleeding disorder that mostly affects males - blood does not have enough clotting factor to clot properly and the affected bleeds for a longer time.
ADVATE
ALPHANATE
ALPHANINE S/D
BEBULIN VH
BENEFIX
CORIFACT
FEIBA NF
HELIXATE FS
HEMOFIL M
HUMATE-P
KOATE-DVI
KOGENATE FS
MONOCLATE-P
MONONINE
NOVOSEVEN RT
PROFILNINE S/D
RECOMBINATE
RIASTAP
WILATE
XYNTHA
check mark check mark check mark check mark check mark

Online Hemophilia Information


Hemophilia Handout

National Hemophilia Foundation
Website: www.hemophilia.org

World Federation of Hemophilia
Website: www.wfh.org

Hemophilia Treatment Center (HTC) Directory
Website: www.cdc.gov/ncbddd/hemophilia/index.html

National Heart Lung and Blood Institute
Phone: 1-301-592-8573
Website: www.nhlbi.nih.gov/health/
public/blood/index.htm

National Hemophilia Foundation Information Resource Center
Phone: 1-800-42-HANDI (1-800-424-2634)
Website: www.hemophilia.org
National Institutes of Health 

Medline Plus
Website: www.nlm.nih.gov/medlineplus
Patient Notification System
Phone: 1-888-UPDATE-U (1-888-873-2838)

Website: www.patientnotificationsystem.org
World Federation of Hemophilia
Website: www.wfh.org

Hepatitis B BARACLUDE
EPIVIR HBV
HEPSERA
TYZEKA
Viread
check mark check mark check mark check mark  

Online Hepatitis B Information

Hepatitis B Handout

Centers for Disease Control and Prevention (CDC)
Website: www.cdc.gov/ncidod/diseases/
hepatitis/b/index.htm

Phone: 800.CDC.INFO (800.232.4636)

American Liver Foundation
Website: www.liverfoundation.org/
education/info/hepatitisb

Phone: 800.GO.LIVER (800.465.4837)
Hepatitis C

Description: Liver inflammation
COPEGUS
INFERGEN
INTRON A
PEG INTRON
PEGASYS
REBETOL
RIBAPAK TABLETS KIT
RIBASPHERE
RIBAVIRIN
check mark check mark check mark check mark check mark

Online Hepatitis C Information

Hepatitis C Handout

1.888.HEP.2608 (1.888.437.2608)
www.beincharge.com

www.allabouthepatitisc.com
HIV APTIVUS
ATRIPLA
COMBIVIR
CRIXIVAN
DIDANOSINE
EMTRIVA
EPIVIR
EPZICOM
FUZEON
INTELENCE
INVIRASE
ISENTRESS
KALETRA
LEXIVA
NORVIR
PREZISTA
RESCRIPTOR
RETROVIR
REYATAZ
SELZENTRY
SUSTIVA
TRIZIVIR
TRUVADA
VIDEX
VIDEX EC
VIRACEPT
VIRAMUNE
Viread
ZERIT
ZIAGEN
ZIDOVUDINE
check mark check mark check mark check mark check mark

Online HIV Infection Information

HIV/AIDS Handout

 
Hormone Therapy ELIGARD
LEUPROLIDE
LUPRON
LUPRON DEPOT
TRELSTAR DEPOT
TRELSTAR LA
check mark check mark check mark check mark   Online Hormone Replacement Therapy Information
 
Hormone Therapy - Corticotropin ACTHAR H.P.
CORTROSYN
check mark check mark check mark check mark   Online Corticotropin Drug Information
 
Hyperparathyroidism SENSIPAR
ZEMPLAR
check mark check mark check mark check mark  

Online Hyperparathyroidism Information

Sensipar-Zemplar Handout

National Kidney Foundation
Website: www.kidney.org
Phone: 1.800.622.9010

American Association of Kidney Patients
Website: www.aakp.org
Phone: 1.800.749.2257
Immune Deficiency BAYGAM
CARIMUNE NF
FLEBOGAMMA
GAMASTAN S/D
GAMIMUNE
GAMMAGARD
GAMMAGARD SD
GAMMAR
GAMMAR-P
GAMUNEX
IVEEGAM EN
OCTAGAM
PANGLOBULIN NF
POLYGAM S/D
VENOGLOBULIN-S
VIVAGLOBIN
check mark check mark check mark check mark   Online Immune Deficiency Disorder Information
 
Immune Globulins RhoGam
RHOPHYLAC
WINRHO SDF
check mark check mark check mark check mark   Online Immune Globulin Drug Information
 
Immunosuppressant - Transplant CELLCEPT
CELLCEPT IV
CYCLOSPORINE
GENGRAF
MYFORTIC
NEORAL
NULOJIX
PROGRAF
RAPAMUNE
SANDIMMUNE
ZENAPAX
check mark check mark check mark check mark check mark

Online Transplant Rejection Information

Organ Transplant Handout

 
Infertility BRAVELLE
CETROTIDE
CHORIONIC GONADOTROPIN
FOLLISTIM AQ
GANIRELIX
GONAL-F
GONAL-F RFF
LUVERIS
MENOPUR
OVIDREL
PERGONAL
PREGNYL
REPRONEX
Noveral
check mark check mark check mark check mark   Online Infertility Information  
Iron Deficiency Feraheme
INFED
check mark check mark check mark check mark   Online Iron Deficiency Anemia Information  
Iron Overload EXJADE check mark check mark check mark check mark  

Online Deferasirox Information

Exjade Handout

Centers for Disease Control and Prevention (CDC)
Website: www.cdc.gov/ncbddd/
hemochromatosis

Phone: 800.CDC.INFO (800.232.4636)
Miscellaneous ACTIMMUNE
ALFERON N
ARCALYST
DDAVP
DESMOPRESSIN ACETATE
SOLIRIS
THYROGEN
VIVITROL
check mark check mark check mark check mark  

Online Diseases and Conditions Information

Actimmune® Handout

Alferon® Handout

 
Multiple Sclerosis

Description: A chronic, or long-term, condition that affects the central nervous system due to damaged fatty substance surrounding the nerves
AVONEX
BETASERON
COPAXONE
Extavia
NOVANTRONE
REBIF
Tysabri
check mark check mark check mark check mark check mark

Online Multiple Sclerosis Information

Multiple Sclerosis Handout

National Multiple Sclerosis Society Website: www.nmss.org
Phone: 1.800.344.4867
Nausea ALOXI
Anzemet
Emend
KYTRIL
ONDANSETRON HCL
ZOFRAN
check mark check mark check mark check mark   Online Nausea Reduction Information  
Neutropenia LEUKINE
NEULASTA
NEUPOGEN
check mark check mark check mark check mark   Online Neutropenia for Infants Information

Neutropenia Handout
National Neutropenia Network
Website: www.neutropenianet.org
Email: leereeves99@gmail.com

American Society of Clinical Oncology
Phone: 1.703.299.0150
Address: 1900 Duke Street, Suite 200 Alexandria, VA 22314
Ophthalmic LUCENTIS
MACUGEN
VISUDYNE
check mark check mark check mark check mark   Online Standard Eye Exam Information  
Osteoarthritis

Description: A progressive breakdown of the cartilage and lubricating fluids found in joints
EUFLEXXA
HYALGAN
ORTHOVISC
SUPARTZ
SYNVISC
check mark check mark check mark check mark   Online Osteoarthritis Information  
Osteoporosis & Other Bone Diseases

Description: A condition where bones become weak and may fracture
AREDIA
BONIVA
FORTEO
MIACALCIN
PAMIDRONATE DISODIUM
RECLAST
ZOMETA
check mark check mark check mark check mark  

Online Osteoporosis Information

Osteoporosis Handout

National Osteoporosis Foundation
Website: www.nof.org
Phone: 202.223.2226 or 800.231.4222

Address: 1232 22nd Street N.W. Washington, D.C. 20037-1202

Surgeon General's Report on Bone Health and Osteoporosis: What it Means to You. U.S. Department of Health and Human Services, Office of the Surgeon General, 2004. Available at: www.surgeongeneral.gov/library/reports/bonehealth/full_report.pdf.
Copies may be ordered by calling 1.866.718.BONE
Pulmonary Hypertension

Description: High blood pressure in the lungs
Adcirca
FLOLAN
LETAIRIS*
REMODULIN
REVATIO
TRACLEER*
VENTAVIS
check mark check mark check mark check mark   Online Pulmonary Hypertension Information  
Pain Management PRIALT check mark check mark check mark check mark   Online Ziconotide Drug Information  
Parkinson Disease APOKYN check mark check mark check mark check mark  

Online Parkinson Disease Information

Apokyn Handout

American Parkinson Disease Foundation, INC.
Website: www.apdaparkinson.org
Phone: 1.800.223.2732

National Parkinson Foundation, INC.
Website: www.parkinson.org
Phone: 1.800.327.4545

Apokyn Circle of CareTM
Website: www.apokyn.com
Phone: 1.877.7APOKYN, Option 2

Psoriasis

Description: A chronic inflammatory skin condition

AMEVIVE
Enbrel
Humira
Remicade
Stelara
check mark check mark check mark check mark  

Online Psoriasis Information

Psoriasis Handout

 
Respiratory Syncytial Virus (RSV)

Description: A virus that can cause an infection of the lungs in babies & children

RESPIGAM
SYNAGIS
check mark check mark check mark check mark  

Online Respiratory Syncytial Virus Information

 

RSV Handout

 
Rheumatic Diseases:
  • Ankylosing spondylitis
  • Juvenile Idiopathic Arthritis
  • Psoriatic Arthritis
  • Rheumatoid Arthritis
Description: Inflammation of the spine and the joints connecting the lower spine to the pelvis
CIMZIA
Enbrel
Humira
KINERET
ORENCIA
RITUXAN
Simponi*
check mark check mark check mark check mark check mark

Online Ankylosing Spondylitis Information

Rheumatic Diseases Handout

Spondylitis Association of America
Website: www.spondylitis.org
Phone: 1.800.777.8189

The Arthritis Foundation
Website: www.arthritis.org
Phone: 1.800.568.4045

The American College of Rheumatology
Website: www.rheumatology.org
Phone: 1.800.777.8189

National Institute of Arthritis and Musculoskeletal and Skin Diseases
Website: www.niams.nih.gov
Phone: 1.877.226.4267

Thrombolytic ACTIVASE check mark check mark check mark check mark   Online Thrombolytic Therapy Information

 
von Willebrand disease ALPHANATE
AMICAR
DDAVP
HUMATE-P
STIMATE
WILATE
check mark check mark check mark check mark check mark

Online von Willebrand Disease Information

 

MedlinePlus
Website: www.nlm.nih.gov/
medlineplus


Hemophilia Treatment Center (HTC) Directory
Website: www2a.cdc.gov/ncbddd/
htcweb/Dir_Report/
Dir_Search.asp


National Heart Lung and Blood Institute
Phone: 1-301-592-8573
Website: www.nhlbi.nih.gov/
health/public/
blood/index.htm


National Hemophilia Foundation Information Resource Center
Phone: 1-800-42-HANDI (1-800-424-2634)
Website: www.hemophilia.org

National Institutes of Health Medline Plus
Website: www.nlm.nih.gov/
medlineplus


Patient Notification System
Phone: 1-888-UPDATE-U (1-888-873-2838)
Web site: www.patient
notificationsystem.org

World Federation of Hemophilia
Website: www.wfh.org

*Disclaimer:

Clinical Management Programs offered are subject to change without notice and may vary depending on plan-specific benefit programs. Please check with specialty pharmacy team members for specific programs on disease conditions.

Medication names are trademarked by their respective owners.