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Printed Resources form (multilingual):
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Misc test items:
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| Practice Name | City | Region |
|---|---|---|
| Bronson Cancer Center | Battle Creek | Lake Michigan Oncology Region (LMOR) |
| Kalamazoo | Lake Michigan Oncology Region (LMOR) | |
| Covenant HealthCare | Saginaw | Central Michigan Group (CMG) |
| Cancer & Leukemia Center (MHP) | Sterling Heights | West of Woodward (WOW) |
| Shelby Township | West of Woodward (WOW) | |
| The Cancer & Hematology Centers | Grand Rapids - at Lemmen-Holton Cancer Pavilion | Lake Michigan Oncology Region (LMOR) |
| Grand Rapids - East | Lake Michigan Oncology Region (LMOR) | |
| Grand Rapids - at Lack's Trinity Health | Lake Michigan Oncology Region (LMOR) | |
| Muskegon | Lake Michigan Oncology Region (LMOR) | |
| Holland | Lake Michigan Oncology Region (LMOR) | |
| Big Rapids | Lake Michigan Oncology Region (LMOR) | |
| Carol R Rapson Red Cedar Oncology | East Lansing | Lake Michigan Oncology Region (LMOR) |
| Dickinson Hematology/ Oncology Clinic | Iron Mountain | Superior West |
| Genesee Hematology Oncology, PC | Flint | Central Michigan Group (CMG) |
| Great Lakes Cancer Management Specialists - Ascension St. John Hospital | Macomb | Metro East (ME) |
| Hematology Oncology Consultants A Division of MHP | Royal Oak | West of Woodward (WOW) |
| Troy | West of Woodward (WOW) | |
| Clarkston | West of Woodward (WOW) | |
| Henry Ford Health Detroit | Detroit | Metro East (ME) |
| Macomb Hospital | Metro East (ME) | |
| Wyandotte Hospital | Metro East (ME) | |
| Jackson Hospital | West of Woodward (WOW) | |
| Herbert-Herman Cancer Center (Sparrow Medical Oncology) | Lansing | Lake Michigan Oncology Region (LMOR) |
| Huron Medical Center, PC | Port Huron | Metro East (ME) |
| Karmanos Cancer Center Detroit | Detroit | Metro East (ME) |
| KCI at McLaren Greater Lansing | Lansing | Lake Michigan Oncology Region (LMOR) |
| KCI at McLaren Northern Michigan | Petosky | Superior East |
| KCI at McLaren Bay Region | Bay City | Central Michigan Group (CMG) |
| KCI at McLaren Central - Norval K Morey | Mt. Pleasant | Central Michigan Group (CMG) |
| KCI at McLaren Clarkston | Clarkston | Metro East (ME) |
| KCI at McLaren Flint Medical Oncology | Flint | Central Michigan Group (CMG) |
| KCI at McLaren Lapeer | Lapeer | Metro East (ME) |
| KCI at McLaren Macomb | Mount Clemens | Metro East (ME) |
| Mackinac Straits Oncology Services | St. Ignace | Superior East |
| Marquette General Hematology Oncology | Escanaba, Marquette | Superior West |
| Memorial Healthcare Cancer Center | Owosso | Lake Michigan Oncology Region (LMOR) |
| Michigan Healthcare Professionals/Oakland Medical Group | Royal Oak | West of Woodward (WOW) |
| Farmington Hills | West of Woodward (WOW) | |
| Rochester | West of Woodward (WOW) | |
| Madison Heights | West of Woodward (WOW) | |
| Munson Healthcare/Cowell Family Cancer Center | Traverse City | Superior East |
| Manistee | Superior East | |
| Grayling | Superior East | |
| Cadillac | Superior East | |
| Munson Otsego Memorial | Gaylord | Superior East |
| MyMichigan | Midland | Central Michigan Group (CMG) |
| MyMichigan Medical Center Sault | Sault Ste. Marie | Superior East |
| Newland Medical Associates | Southfield | West of Woodward (WOW) |
| Bingham Farms | West of Woodward (WOW) | |
| Howell | West of Woodward (WOW) | |
| Novi | West of Woodward (WOW) | |
| Rochester Hills | West of Woodward (WOW) | |
| Oncology Hematology Associates of Saginaw Valley, P.C. | Saginaw | Central Michigan Group (CMG) |
| Rogel Cancer Center - University of Michigan Health | Ann Arbor | West of Woodward (WOW) |
| Trinity Health IHA Medical Group | Ann Arbor/Ypsilanti | West of Woodward (WOW) |
| Brighton | West of Woodward (WOW) | |
| Canton | West of Woodward (WOW) | |
| Chelsea | West of Woodward (WOW) | |
| Livonia | West of Woodward (WOW) | |
| University of Michigan Health - West | Wyoming | Lake Michigan Oncology Region (LMOR) |
| UP Health System - Portage | Hancock | Superior West |
| Vincent Shen, MC PLC | Marshall | Lake Michigan Oncology Region (LMOR) |
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| Drug Name | Patient Self-management Education | PCP Information | Video Education for Staff | Prior Authorization Information | ||
|---|---|---|---|---|---|---|
| Abiraterone (Zytiga) | DOC | DOC | ||||
| Afatinib (Gilotrif) | DOC | DOC | ||||
| Alectinib (Alecensa) | DOC | DOC | ||||
| Axitinib (Inlyta) | DOC | DOC | ||||
| Bexarotene (Targretin) | DOC | DOC | ||||
| Bosutinib (Bosulif) | DOC | DOC | ||||
| Brigatinib (Alunbrig) | DOC | DOC | ||||
| Cabozantinib (Cabometyx) | DOC | DOC | ||||
| Capecitabine (Xeloda) | DOC | DOC | ||||
| Ceritinib (Zykadia) | DOC | DOC | ||||
| Chlorambucil (Leukeran) | DOC | DOC | ||||
| Cobimetinib (Cotellic) | DOC | DOC | ||||
| Crizotinib (Xalkori) | DOC | DOC | ||||
| Cyclophosphamide (Cytoxan) | DOC | DOC | ||||
| Dabrafenib (Tafinlar) | DOC | DOC | ||||
| Dasatinib (Sprycel) | DOC | DOC | ||||
| Enasidenib (idhifa) | DOC | DOC | ||||
| Enzalutamide (Xtandi) | DOC | DOC | ||||
| Erlotinib (Tarceva) | DOC | DOC | ||||
| Etoposide (Etopophos, Toposar) | DOC | DOC | ||||
| Everolimus (Afinitor) | DOC | DOC | ||||
| Gefitinib (Iressa) | DOC | DOC | ||||
| Hydroxyurea (Hydrea, Droxia) | DOC | DOC | ||||
| Ibrutinib (Imbruvica) | DOC | DOC | ||||
| Idelalisib (Zydelig) | DOC | DOC | ||||
| Imatinib (Gleevec) | DOC | DOC | ||||
| Ixazomib (Ninlaro) | DOC | DOC | ||||
| Lapatinib (Tykerb) | DOC | |||||
| Lenalidomide (Revlimid) | DOC | DOC | ||||
| Lenvatinib (Lenvima) | DOC | DOC | ||||
| Lomustine (CCNU, Ceenu) | DOC | DOC | ||||
| Melphalan (Alkeran) | DOC | DOC | ||||
| Mercaptopurine (Purinethol, Purixan) | DOC | DOC | ||||
| Methotrexate (Trexall, Rasuvo) | DOC | DOC | ||||
| Midostaurin (Rydapt) | DOC | DOC | ||||
| Mitotane (Lysodren) | DOC | DOC | ||||
| Neratinib (Nerlynx) | DOC | DOC | ||||
| Nilotinib (Tasigna) | DOC | DOC | ||||
| Olaparib (Lynparza) | DOC | DOC | ||||
| Osimertinib (Tagrisso, Tagrix) | DOC | DOC | ||||
| Palbociclib (Ibrance) | DOC | DOC | ||||
| Panobinostat (Farydak) | DOC | DOC | ||||
| Pazopanib (Votrient) | DOC | |||||
| Pomalidomide (Pomalyst) | DOC | DOC | ||||
| Ponatinib (Iclusig) | DOC | DOC | ||||
| Procarbazine (Matulane) | DOC | DOC | ||||
| Regorafenib (Stivarga) | DOC | DOC | ||||
| Rucaparib (Rubraca) | DOC | DOC | ||||
| Ruxolitinib (Jakafi) | DOC | |||||
| Sonidegib (odomzo) | DOC | DOC | ||||
| Sorafenib (Nexavar) | DOC | DOC | ||||
| Sunitinib (Sutent) | DOC | DOC | ||||
| Temozolomide (Temodar) | DOC | DOC | ||||
| Thalidomide (Thalomid) | DOC | DOC | ||||
| Thioguanine (Tabloid) | DOC | DOC | ||||
| Topotecan (Hycamtin) | DOC | DOC | ||||
| Trametinib (Mekinist) | DOC | DOC | ||||
| Tretinoin (Refissa, Atralin, Tretin-X, Retin-A, Avita, and Renova) | DOC | DOC | ||||
| Vandetanib (Caprelsa) | DOC | DOC | ||||
| Vemurafenib (Zelboraf) | DOC | DOC | ||||
| Venetoclax (Venclexta) | DOC | DOC | ||||
| Vismodegib (Erivedge) | DOC | DOC | ||||
| Vorinostat (Zolinga) | DOC | DOC | ||||
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Click here to add fda-approved-smoking-cessation-therapies
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