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Do you offer home administration of ESAs for your patients with anemia of chronic kidney disease?
Answer from: at Community Practice
Yes, it the patient's prescription drug plan allows it. Traditional Medicare does not allow home administration of ESAs since they are covered under part B rather than part D. However, many Medicare Advantage and commercial insurers do allow for home administration of ESAs, so I offer that option to...
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Answer from: at Community Practice
No ESA, not even Mircera, is meant to be given just once a month. Since it is very difficult to get patients into the office more than once a month, I prefer home administration whenever possible. I would give Procrit twice a week or Aranesp once a week. This will most often result in a lower total ...
Answer from: at Academic Institution
We have not so far, but it is a good idea if the patient can do it and insurance covers it. We have been having patients come to our clinic once a month for injections. Many times, since patients have advanced CKD, I have actually been seeing them as a follow up visit at the same time also.