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Coverage for injectable drugs that reduce the risk of preterm birth

December 2, 2013

For pregnant women who have a history of preterm birth, AmeriHealth covers two injectable drugs to reduce the risk of preterm birth:
  • the preservative-free compound 17-alpha-hydroxyprogesterone caproate (17P)
  • Makena®, which is approved by the U.S. Food and Drug Administration
Both drugs use the same active pharmaceutical ingredients and are available through the AmeriHealth Direct Ship Injectables Program, but Makena contains preservatives as a result of the manufacturing process. Providers are encouraged to select the drug that is appropriate for each individual patient, given her unique circumstances. For more information about 17P and Makena, visit the AmeriHealth Medical Policy portal to review Medical Policy #08.01.00c: Hydroxyprogesterone Caproate Injection as a Technique to Reduce the Risk of Preterm Birth in High-Risk Pregnancies.

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