Are XIAFLEX injections covered by Medicare?

Are XIAFLEX injections covered by Medicare?

Because it is administered by a doctor in an outpatient setting, Xiaflex may be covered by Medicare Part B and Medicare Advantage plans when certain criteria is met.

Is there a generic for XIAFLEX?

Xiaflex (collagenase Clostridium histolyticum) is a nonsurgical enzyme treatment derived from Clostridium histolyticum bacteria for adults with Dupuytren’s contracture when a cord can be felt. Xiaflex is available in a generic form as collagenase Clostridium histolyticum.

Is XIAFLEX a limited distribution drug?

Restricted Distribution through specially certified healthcare settings (e.g., pharmacies, practitioners, hospitals or outpatient settings).

Does xiaflex really work?

Studies have shown 34% improvement in penile curvature in men who underwent treatment with Xiaflex injection compared to 18% improvement in men treated with saline injection. In a study of 832 men, three men had penile fracture.

Is xiaflex available?

Xiaflex is available for Peyronie’s disease only from a certified pharmacy under a special program called Xiaflex REMS. You must be registered in the program and understand the risks of taking this medicine.

How do I get xiaflex?

XIAFLEX® should be injected by a healthcare provider who is experienced in injection procedures of the hand and treating people with Dupuytren’s contracture. Use these questions to help guide your discussion with a Hand Specialist.

How do I pay my xiaflex injection?

XIAFLEX ® is indicated for the treatment of adult patients with Dupuytren’s contracture with a palpable cord….

Injection
Drug Code J0775 (represents 0.01 mg of XIAFLEX ®) Commercial: Bill as 180 units Medicare: Bill as 2 separate lines Line 1: J0775 (116 units‡) Line 2: J0775 (64 units‡) and apply the JW modifier

How long does Xiaflex last?

Your doctor will check your hand, try to straighten the finger if needed, and apply a splint. Wear the splint every night at bedtime as long as directed by your doctor (for up to 4 months).

Is XIAFLEX refrigerated?

Reconstituted XIAFLEX solution can be kept at room temperature (20° to 25°C / 68° to 77°F) for up to 1 hour or refrigerated (2° t o 8°C / 36° t o 46°F) for up to 4 hours prior to administration.

How do I get XIAFLEX?