FSSA/OMPP wants to make Medicaid better for members and they need your help. Apply to join Indiana Medicaid’s NEW Beneficiary Advisory Council (BAC) to share your experience. The BAC, composed of current and former Medicaid members and caretakers, will discuss policy and program changes. To apply, complete the BAC application and submit it via email or mail. Additionally, here is the website link for the FSSA BAC page: https://www.in.gov/fssa/ompp/advisory-committees/beneficiary-advisory-council
Generic
Brand
HICL
GCN
Exception/Other
ACALABRUTINIB
CALQUENCE
44607
ACALABRUTINIB MALEATE
48182
Our guideline named ACALABRUTINIB (Calquence) requires the following rules be met for approval:
To promote appropriate utilization of Calquence based on FDA approved indication.
Calquence is a kinase inhibitor indicated for the treatment of adult patients with:
The recommended dose of Calquence is 100 mg taken orally approximately every twelve hours until disease progression or unacceptable toxicity.
Calquence [Prescribing Information]. AstraZeneca Pharmaceuticals: Wilmington, DE; August 2022.