Test
Printed Resources form (multilingual):
Misc test items:
Practice Name | City | Region |
---|---|---|
Bronson Cancer Center | Battle Creek | Lake Michigan Oncology Region (LMOR) |
Bronson Cancer Center | Kalamazoo | Lake Michigan Oncology Region (LMOR) |
Cancer & Hematology Centers of Western Michigan | Grand Rapids | Lake Michigan Oncology Region (LMOR) |
Covenant HealthCare | Saginaw | Central Michigan Group (CMG) |
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) |
Henry Ford Health Jackson Hospital | Jackson | West of Woodward (WOW) |
Henry Ford Health Detroit | Detroit | Metro East (ME) |
Henry Ford Macomb Hospital | Clinton Township | Metro East (ME) |
Henry Ford Wyandotte Hospital | Wyandotte | Metro East (ME) |
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 Bay Region | Bay City | Central Michigan Group (CMG) |
KCI at McLaren Central - Norval K Morey | Mt. Pleasant | Central Michigan Group (CMG) |
KCI at McLaren Flint Medical Oncology | Flint | Central Michigan Group (CMG) |
Karmanos Cancer Institute at McLaren Greater Lansing | Lansing | Lake Michigan Oncology Region (LMOR) |
KCI at McLaren Macomb | Mount Clemens | Metro East (ME) |
Karmanos Cancer Institute at McLaren Northern Michigan | Petosky | Superior East |
KCI at McLaren Clarkston | Clarkston | Metro East (ME) |
KCI at McLaren Lapeer | Lapeer | 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-Cancer and Leukemia Center | Sterling Heights | West of Woodward (WOW) |
Michigan Healthcare Professionals-Downriver Oncology Center | Brownstown | West of Woodward (WOW) |
Michigan Healthcare Professionals Michigan Hematology & Oncology Consultants | Dearborn | West of Woodward (WOW) |
Michigan Healthcare Professionals-Hematology Oncology Consultants | Royal Oak | West of Woodward (WOW) |
Michigan Healthcare Professionals-Oakland Medical Group | Royal Oak | West of Woodward (WOW) |
Munson Healthcare/Cowell Family Cancer Center | Traverse City | Superior East |
Munson Otsego Memorial | Gaylord | Superior East |
MyMichigan | Midland | Central Michigan Group (CMG) |
Newland Medical Associates | Southfield | West of Woodward (WOW) |
Oncology Hematology Associates of Saginaw Valley, P.C. | Saginaw | Central Michigan Group (CMG) |
Red Cedar Oncology | East Lansing | Lake Michigan Oncology Region (LMOR) |
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) |
Trinity Health IHA Medical Group Brighton | Brighton | West of Woodward (WOW) |
Trinity Health IHA Medical Group Canton | Canton | West of Woodward (WOW) |
Trinity Health IHA Medical Group Chelsea | Chelsea | West of Woodward (WOW) |
University of Michigan Health - West | Wyoming | Lake Michigan Oncology Region (LMOR) |
UP Health System - Portage | Hancock | Superior West |
Trinity Health IHA Medical Group Livonia | Livonia | West of Woodward (WOW) |
Vincent Shen, MC PLC | Marshall | Lake Michigan Oncology Region (LMOR) |
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 |