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BLOOD FORMATION AND COAGULATION › ANTIANEMIA DRUGS

FERRIC DERISOMALTOSE (Monoferric)

100mg elemental iron/mLInj Sol (Preservative-Free)
LU610
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For the treatment of patients with Iron Deficiency Anemia (IDA) who meet ALL the following criteria: Patient has documented diagnosis of IDA confirmed by laboratory testing results (e.g. hemoglobin, ferritin); AND Patient's IDA has experienced a failure to respond, documented intolerance, or…

LU Authorization Period: 1 year
Complete Ontario criteria

For the treatment of patients with Iron Deficiency Anemia (IDA) who meet ALL the following criteria: - Patient has documented diagnosis of IDA confirmed by laboratory testing results (e.g. hemoglobin, ferritin); AND - Patient's IDA has experienced a failure to respond, documented intolerance, or contraindication to an adequate trial (i.e. at least 4 weeks) of at least one oral iron therapy; AND - Patient does not have hemochromatosis or other iron storage disorders; AND - Monoferric is administered in a setting where appropriate monitoring and management of hypersensitivity reactions can be provided to the Patient.

Clinical verification required

Quick summaries support scanning only. Confirm eligibility against the complete Ontario criteria and current Ontario e-Formulary before billing.

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