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Changes to preferred products to treat osteoarthritis of the knee

May 1, 2013

Currently, there are seven hyaluronate acid products that have been approved by the U.S. Food and Drug Administration (FDA) to treat osteoarthritis of the knee: Euflexxa[]?[], Gel-One[]?[], Hyalgan[]?[], Orthovisc[]?[], Supartz[]?[], Synvisc[]?[], and Synvisc-One[]?[]. These products have demonstrated equivalent therapeutic results when used for this indication. Effective April 1, 2013, AmeriHealth has designated Orthovisc[]?[], Synvisc[]?[], and Synvisc-One[]?[] as our preferred hyaluronate acid products for the treatment of osteoarthritis of the knee. These preferred products were selected based on their demonstrated cost-effectiveness. Choosing one of these preferred products does not affect the member?s costsharing for the drug. We encourage providers to choose one of the three preferred products when treating members who have osteoarthritis of the knee. At this time, we will continue to cover all seven hyaluronate acid products in accordance with the criteria listed in the Medical Policy #11.14.07i: Intra-articular Injection of Hyaluronan for the Treatment of Osteoarthritis. For more details about the medical policy on hyaluronate acid products, visit the []Medical Policy Portal[], select Accept and Go to Medical Policy Online, and then type the policy name or number in the Search box.

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