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Micromedex® Compendia Resources
Through the process established by the Centers for Medicare and Medicaid Services (CMS), Micromedex® DRUGDEX® is recognized by CMS as a compendium for the determination of payment for medically-accepted off-label uses for anti-cancer regimens. Effective January 1, 2010, new requirements were implemented that include a provision for providing transparency of processes used to evaluate therapies and to identify potential conflicts of interest. Specifically, publishers of compendia must now make the following information available via their public websites:
- Criteria used to evaluate the request (therapy)
- Disclosure of evidence considered
- Meeting minutes and records of votes for disposition of the request (therapy)
- Names of individuals who have substantively participated in the development of the compendia recommendations and disclosure of any potential conflicts of interest
To meet these requirements, documents detailing this information for each drug/off-label use pair published on or after January 1, 2010 are posted below. Information is organized by drug name, with the document title indicating the off-label use. Further transparency regarding Micromedex Off-Label processes can be found in the Micromedex Compendia Uses Policy.
Micromedex® Compendia Policy
This document outlines the policy and procedures employed by Micromedex® Editorial teams to identify clinically relevant off-label uses for FDA-approved medications and develop evidence-based content for inclusion in Micromedex content sets to support the designation of DRUGDEX® as a named compendium for the CMS. 3 pages
Micromedex® Off-label Request Process
This document outlines the process by which external parties may submit a request for a new off-label use to be evaluated for inclusion in Micromedex DRUGDEX®. Any consideration will be done independently by Micromedex editorial staff following existing policies to maintain objectivity and editorial independence. 2 pages
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Necrosis of central nervous system due to exposure to ionizing radiation
Extensive stage small cell lung cancer, First-line, in combination with chemotherapy
Cancer of cervix, recurrent, persistent, or metastatic
Colon cancer, adjuvant therapy in combination with fluorouracil, leucovorin, and oxaliplatin
Gastric cancer, advanced, first-line therapy in combination with fluoropyrimidine-based chemotherapy
Glioblastoma multiforme of brain, newly diagnosed
Ovarian cancer, advanced, first-line therapy in combination with carboplatin and paclitaxel
Malignant neoplasm of endometrium of corpus uteri – Advanced or recurrent
Triple-negative breast cancer; Early, adjuvant therapy
Gastric cancer, stage ll to lllB, adjuvant therapy in combination with oxaliplatin
Rectal cancer, locally advanced, adjuvant or neoadjuvant therapy, in combination with radiotherapy
Stage lll colon cancer, adjuvant, in combination with oxaliplatin
Chronic lymphoid leukemia, disease; Maintenance, after chemotherapy
AL amyloidosis; Relapsed or refractory, combination therapy
Non-Hodgkin lymphoma, in combination with rituximab
Malignant mesothelioma of pleura; Previously treated
Triple-negative breast cancer; Early, neoadjuvant, in combination with standard chemotherapy
Renal cell carcinoma; First-line, in combination with lenvatinib
Malignant tumor of anus; Advanced or metastatic squamous cell disease, previously treated
Burkitt’s lymphoma (clinical) in combination with chemotherapy
Mantle cell lymphoma untreated, maintenance therapy
Chronic lymphoid leukemia, disease maintenance, following rituximab-containing chemotherapy
Immune thrombocytopenia; In combination with a corticosteroid
Immune thrombocytopenia, previously treated [pediatric]
Mantle cell lymphoma, untreated, induction therapy, in combination with anthracycline-based regimens
Post-transplant lymphoproliferative disorder [pediatric patients]
Thrombotic thrombocytopenic purpura, in combination with plasma exchange