Treatments

Injections

  1. Why can’t I get my Neulasta or G-CSF the same day as my treatment?
  2. Why can’t I get my Epoetin or Darbepoietin injection sometimes even though the doctor ordered it?
  3. Can I get my injection(s) at another location?
  4. Where can I get more information about my medications or injections?

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Why can’t I get my Neulasta or G-CSF the same day as my treatment?

A. Neulasta or G-CSF must be given 24 to 72 hours after treatment to be effective. Given before or after this window of time, these drugs are not helpful. Please refer to: http://www.chemocare.com/bio/neulasta.asp
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Why can’t I get my Epoetin or Darbepoietin injection sometimes even though the doctor ordered it?

A. Each insurance company has rules that regulate the requirements for giving Epoetin and Darbepoietin. Your blood counts must be checked each time prior to treatment and have to meet certain criteria to be given. Insurance will not pay for these drugs if your diagnosis and blood work do not meet the guidelines, even if your doctor orders it for you. To assure that you will not have to be held responsible for paying for this very expensive medication, we must adhere to these guidelines.
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Can I get my injection(s) at another location?

A. Some insurance companies, such as Kaiser Permanente, require that their patients receive their injections either at Kaiser or with the option for the patient to self inject certain medications at home. Arrangements can also be made for a patient to have injections given at another location on holidays, weekends or if a patient lives a long distance from our office. Please ask your doctor or nurse if special arrangements are needed.
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Where can I get more information about my medications or injections?

Ask your doctor or nurse for drug information related to your specific injection or refer to www.chemocare.com.
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