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It is medically necessary that the drug be administered by Insulin infusion scale implanted infusion pump; and The drug is medically necessary for the treatment of members see medical necessity criteria for various types of infusion pumps below ; and The infusion pump has been approved by the FDA for infusion of the particular drug that is to be administered.
Anti-Spasmodic Drugs Aetna considers an implantable infusion pump medically necessary when used to intrathecally administer anti-spasmodic drugs e. Member has failed a six-week trial of non-invasive methods of spasticity control, such as oral anti-spasmodic drugs, either because these methods fail to adequately Insulin infusion scale the spasticity or produce intolerable side effects; and Member has a favorable response to a trial intrathecal dosage of the anti-spasmodic drug prior to pump implantation.
Intrathecal baclofen Lioresal is considered medically necessary for the treatment of intractable spasticity caused by spinal cord disease, spinal cord injury, or multiple sclerosis and for stiff person syndrome. Baclofen is considered medically necessary for persons who require spasticity to sustain upright posture, balance in locomotion, or increased function.
Documentation in the member's medical record should indicate that the member's spasticity was unresponsive to other treatment methods and that the oral form of baclofen was ineffective in controlling spasticity or that the member could not tolerate the oral form of the drug.
A trial of oral baclofen is not a required prerequisite to intrathecal baclofen therapy in children ages 12 years old or less due to the increased risk of adverse effects from oral baclofen in this group.
The medical record should document that the member showed a favorable response to the trial dosage of the baclofen before subsequent dosages are considered medically necessary. An implanted pump for continuous fusion is considered not medically necessary for members who do not respond to a mcg intrathecal bolus.
Intrathecal baclofen, when combined with other agents clonidine, hydromorphone, morphine, and zinconotideis considered experimental and investigational because the safety and effectiveness of these combinations has not been established. The member's history must indicate that he or she has not responded adequately to non-invasive methods of pain control, such as systemic opioids including attempts to eliminate physical and behavioral abnormalities which may cause an exaggerated reaction to pain.
An implantable infusion pump is considered medically necessary when used to administer opioid drugs e. Intrahepatic Chemotherapy Infusion for Liver Metastases from Colorectal Cancer Implantable infusion pumps are considered medically necessary for administration of intrahepatic chemotherapy e.
Aetna considers "one-shot" arterial chemotherapy for persons with liver metastases from colorectal cancer experimental and investigational. Hospital discharge is dependent on resolution of pain, nausea and vomiting which complicate the procedure.
Contraindications to Implantable Infusion Pumps Implantable infusion pumps are considered not medically necessary for persons with the following contraindications to implantable infusion pumps: Members who have an active infection that may increase the risk of the implantable infusion pump; or Members whose body size is insufficient to support the weight and bulk of the device; or Members with known allergy or hypersensitivity to the drug being used e.
Implantable infusion pumps for intrahepatic administration of chemotherapy for indications other than noted above, including treatment of hepatic metastases from cancers other than colorectal cancer; or Implantable pumps for the infusion of heparin for recurrent thromboembolic disease; or Implantable pumps for the infusion of insulin to treat diabetes; or Implantable pumps for the infusion of baclofen for chronic neuropathic pain e.
External Infusion Pumps Aetna considers external infusion pumps medically necessary DME for administration of any of the following medications: Certain parenteral anticancer chemotherapy drugs e. Aetna considers external infusion pumps experimental and investigational for all other indications.
Members must meet all of the following criteria: The member has been on a program of multiple daily injections of insulin i. Aetna considers external infusion pumps for diabetes experimental and investigational where the above-listed criteria are not met.
It may be considered medically necessary for poorly controlled women with diabetes to sometimes get started on the pump pre-pregnancy or in the first trimester. Notes on External Insulin Infusion Pumps: Aetna considers a programmable disposable external insulin infusion pump e.INTRAVENOUS INSULIN SLIDING SCALE PRESCRIPTION VARIABLE RATE INTRAVENOUS INSULIN INFUSION (VRIII) Using an insulin syringe draw up 50 units human soluble (ACTRAPID®) insulin and add to mL of % sodium chloride to give a 1 unit/mL solution or use a prefilled syringe 50 units in 50mL where available.
For exploiting synthetic glucose-responsive insulin delivery systems, challenges remain to demonstrate a strategy that would combine (i) fast responsiveness, (ii) ease of administration, and (iii) excellent biocompatibility. We have developed a novel glucose-responsive insulin delivery device using.
Microfusion Set. I.V. Infusion Set with Micro Drip. Micro I.V. Infusion set for paediatric use; Approximately 60 drops/ml. Diabetes is a chronic disease that afflicts million Americans. Insulin, one of the primary treatments for diabetes, has been around since the s.
Explore BD insulin syringes. Just as effective as insulin syringes with longer needles, our 6-mm insulin syringes, like the BD insulin syringe with the BD Ultra-Fine™ 6mm needle, reduce anxiousness, and they are less likely to cause painful injections into the muscle.
1,2 Utilizing thin wall technology, they feature a thinner wall that reduces the . Choose insulin syringes designed for comfortable injections, in line with the latest recommendations on insulin delivery.
Just as effective as insulin syringes with longer needles, our 6-mm insulin syringes, like the BD insulin syringe with the BD Ultra-Fine ™ 6mm needle, reduce anxiousness, and they are less likely to cause painful injections into the muscle.
1,2 Utilizing thin wall.