Do not use synviscone if package is opened or damaged. Monovisc is a singleinjection viscosupplement for longlasting relief of osteoarthritis knee pain. Only medical professionals trained in accepted injection techniques for delivering agents into the. Hyaluronan, also known as hyaluronic acid, is a naturally occurring glycosaminoglycan with viscoelastic properties. A hyaluronic acid injection that provides longterm relief from osteoarthritis knee pain. Hyaluronic acid derivatives durolane, euflexxa, gelsyn3, genvisc 850, hyalgan, sodium hyaluronate, supartz, synojoynt, triluron, trivisc, visco3 sodium hyaluronate.
Euflexxa, gelone, gelsyn3, genvisc 850, hyalgan, hymovis, monovisc, orthovisc, sodium. Coverage for gel one, genvisc 850, hyalgan, hymovis, monovisc. Monovisc is a nonavian sourced viscosupplement that provides early and durable pain relief in a single high concentration injection that is conveniently packaged in a 4 ml volume for ease of use by physicians and minimum. All preservice authorization requests may be submitted to bcbsma clinical pharmacy operations by completing the preservice authorization form on the last page of this document. It is comprised of highly purified, partially crosslinked sodium hyaluronate naha in a phosphate buffered saline solution, and it is both biocompatible and resorbable. Monovisc joins synviscone and gelone as a singleinjection hyaluronate ha preparation and is the. Easton road, suite 207, doylestown, pa 18901 1844genvisc 18444368472. Information for prescribers monovisc high molecular. Unitedhealthcare commercial medical benefit drug policy. Monovisc consists of high molecular weight, ultrapure, natural hyaluronan, a complex sugar of the glycosaminoglycan family.
Attach the plunger rod to the syringe by holding the plunger rod by the. Member information required provider information required member name. Zilretta triamcinolone acetonide extendedrelease injectable suspension is indicated as an intraarticular injection for the management of osteoarthritis pain of the knee. Orthovisc high molecular weight hyaluronan is a fda approved treatment made from ultrapure hyaluronan, a naturally occurring lubricant found in healthy knee joints. Side effects may include joint pain, headache, joint swelling, back pain, sore throat and. Monovisc provides early and durable pain relief in a single high. With the concentrate vial on an even surface, insert the adapter spike into the rubber stopper. Monovisc is a single injection viscosupplement utilized to treat the joint pain caused by osteoarthritis. Do not use monovisc if the package has been opened or damaged. Cingal, monovisc and orthovisc may not be suitable for everyone. Insert the needle of the syringe into the histidine diluent vial.
Monovisc supplements the hyaluronic acid naturally found in a healthy knee with ultrapure, nonavian hyaluronic acid. Use this viscosupplement to treat osteoarthritis of the knee or other joint, reducing pain symptoms and improving mobility. A oneinjection oa treatment monovisc is a single injection viscosupplement utilized to treat the joint pain caused by osteoarthritis. Remove joint effusion, if present, before injecting monovisc. Allied medica cannot guarantee the accuracy of all information here, including but not limited to instructions for use. Orthovisc is usually given after other arthritis medications have been tried without success. Hyalgan is contraindicated in patients with known hypersensitivity to hyaluronate preparations or in cases of present infections or skin diseases in the area of the injection site. Member is currently undergoing treatment and coverage is required to complete the current course of treatment. Remove any synovial fluid or effusion before injecting synviscone. Irritation where monovisc hyaluronate and derivatives injection knee is used. Swelling where monovisc hyaluronate and derivatives injection knee is used. Monovisc j7327 medical orthovisc j7324 medical supartz, fx j7321 medical synojoynt j7331 medical synvisc j7325 medical synviscone j7325 medical. It is found throughout the body in the extracellular matrix of connective, epithelial and neural tissues, the umbilical cord and the aqueous and vitreous humors of the eye.
Synvisc and synviscone are contraindicated in patients with known hypersensitivity to hyaluronan products or patients with infections in or around the target knee. Monovisc is indicated for the treatment of pain in osteoarthritis oa of the. Hyaluronic acid derivatives durolane, euflexxa, gelsyn3, genvisc 850, hyalgan, sodium hyaluronate, supartz, synojoynt, triluron, trivisc, visco3 sodium. Orthovisc high molecular weight hyaluronan orthovisc.
Description qrthovisco is a sterile, nonpyrogenic, clear, viscoeiastic solution of hyaluronan contained in a singleuse syringe. Hyaluronic acid derivatives durolane, euflexxa, gelsyn3. Hyalgan, hymovis, monovisc, orthovisc, supartzsupartz. Also avoid weightbearing activity or standing for longer. Store monovisc in its original package at room temperature below 77 f25 c. Antepartum fetalmaternal hemorrhage suspected or proven as a result of placenta previa, amniocentesis, chorionic villus sampling, percutaneous. Hyaluronic acid derivatives gelsyn3 hyalgan supartz trivisc. Dosage and administration detailed device description. Inject air into the vial and withdraw the quantity required for reconstitution. Sodium hyaluronate is used to treat pain in the knee due to osteoarthritis. Order the gynecology, ophthalmology, and rheumatology products you need at wholesale prices.
Monovisc, euflexxa, gelsyn, genvisc 850, supartz, hymovis, gelone, hyalgan, synvisc and synviscone are hyaluronan derivatives that are injected into the knee joints to increase the elastoviscous properties of arthritic joint fluid and slow its outflow from the joint. The contents of the syringe have been sterilized by using moist heat. Orthovisc hyaluronan is a nonavian sourced hyaluronic acid injection therapy which has up to six months of clinically proven efficacy with 3 or 4 injections. Information for prescribers monovisc high molecular weight. See what others have said about monovisc, including the effectiveness, ease of use and side effects. It is comprised of highly purified sodium hyaluronate naha in physiologic saline, and it is both biocompatible and resorbable.
Hylans are derivatives of hyaluronan sodium salt of hyaluronic acid and consist of repeating disaccharide units of nacetylglucosamine and sodium glucuronate. Apr 18, 2019 orthovisc hyaluronan is similar to the fluid that surrounds the joints in your body. Hyaluronic acid derivatives euflexxa, hyalgan, gelone. Monovisc high molecular weight hyaluronan is an fda approved treatment made from ultrapure hyaluronan, a naturally occurring lubricant found in healthy knee joints.
Monovisc is indicated in the treatment of pain in oa of the knee in patients who have failed to respond adequately to conservative nonpharmacologic therapy and to simple analgesics e. The efficacy and safety of repeat administration of zilretta have not been demonstrated. This fluid acts as a lubricant and shock absorber for the joints. Orthovisc high molecular weight hyaluronan orthovisc high molecular weight hyaluronan caution federal law restricts this device to sale by or on the order of a physician or properly licensed practitioner. Orthovisc is used to treat knee pain caused by osteoarthritis. Orthovisc high molecular weight hyaluronan orthovisc high. Symbols on packaging attention, see instructions for use single use only. Learn more about monovisc learn more about monovisc patient testimonials.
Monovisc is indicated for the treatment of pain in osteoarthritis oa of the knee in patients who have failed to respond adequately to conservative nonpharmacologic therapy or simple analgesics e. Page 3 hyaluronic acid derivatives prior auth criteria proprietary information. Only medical professionals trained in accepted injection techniques for delivering agents into the knee joint should inject monovisc for the indicated use. Highlights of prescribing information safely and effectively. Gelone hyaluronate prescribing information,gelone package insert ver.
A high molecular weight hyaluronic acid injection the trusted brand for over 20 years. Use caution when injecting hyalgan into patients who are allergic to avian proteins, feathers, and egg products. Zilretta is not for people allergic to corticosteroids, triamcinolone acetonide or any other component of the product. Genvisc 850 from orthogenrx may help relieve knee pain. The monovisc device is a proprietary high molecular weight hyaluronic acid ha visco. Monovisc is a sterile, nonpyrogenic, viscoelastic solution of hyaluronan contained in a single use syringe. Monovisc is used to treat knee pain caused by osteoarthritis monovisc is usually given after other arthritis medications have been tried without success. The required amount of monovisc is injected through a sterile, disposable, hypodermic needle of suitable gauge into the selected joint space.
Monovisc offers the benefits of relieving joint pain and many other symptoms of osteoarthritis that patients feel and experience. Monovisc high molecular weight hyaluronan injection is a complex sugar used to treat pain in osteoarthritis oa of the knee in patients who have failed to respond adequately to conservative nonpharmacologic therapy or simple analgesics e. Synvisc hylan gf 20 is a sterile, nonpyrogenic, elastoviscous fluid containing hylans. These are not all of the side effects that may occur. Do not use orthovisc if the package has been opened or damaged. The overall objective of this policy is to support the appropriate and cost effective use of the. Orthovisc high molecular weight hyaluronic acid injection. The recommended dose is 4 ml one syringe per knee joint. Allied medica reserves the right to change product prices at any time before billing customers. Monovisc interactions for at least 48 hours after your injection.
Hymovis, monovisc, orthovisc, supartz, synojoynt, synvisc or synviscone, triluron, trivisc, visco3 j3490 j7320 j7321 j7322 j7324 j7325 j7326 than experienced with durolane, euflexxa, and gelsyn j7327 j7329 j7331 j7332 initial therapy medical notes. Indications symptomatic treatment associated with mild to moderate osteoarthritis pain in the ankle, fingers, and toes. Disclaimer information on allied medica is provided for informational purposes only and may not cover all precautions, side effects, and other information about any given product. Qmed ab seminariegatan 21 se752 28 uppsala sweden for legal manufacturer. Osteoarthritis knee pain relief injection treatment monovisc.
Csl behring coagulation factor ix human mononine monoclonal antibody purified only description coagulation factor ix human, mononin is a sterile, stae ble, lyophilized concentrate of factor ix prepared from pooled human plasma and is intended for use in therapy of factor ix deficiency, known as hemophilia b or christmas disease. Csl behring coagulation factor ix human mononine monoclonal. Zilretta is an extendedrelease corticosteroid approved to manage osteoarthritis knee pain. As oa of the knee progresses, prescription medications such as. Hylans are derivatives of hyaluronan sodium salt of hyaluronic acid and consist of repeating disaccharide units of nacetylglucosamine and. Avoid jogging, strenuous activity, or highimpact sports such as tennis. Insert the syringe needle containing the diluent into the novoseven rt vial through the center of the rubber stopper, aiming the needle against the side so that the stream of liquid. Monovisc j7327 medical orthovisc j7324 medical supartz, fx j7321 medical.
A single injection, lightly crosslinked high molecular weight hyaluronic acid a oneinjection oa treatment. Hyaluronic acid derivatives gelsyn3 hyalgan supartz. Remove joint effusion, if present, before injecting orthovisc. Monovisc is indicated for the treatment of pain in osteoarthritis oa. Durolane sj is also indicated for pain following joint arthroscopy in the presence of oa within three months of the procedure. For orders, product information, product and medical complaints call 18002657927. Monovisc is a viscosupplement that contains a gellike substance manufactured from ultrapure, nonavian hyaluronic acid that supplements the hyaluronic acid naturally found in the synovial fluid of a healthy knee. J7323 euflexxa per knee male 3 units every 180 days. Hyaluronan derivatives for intraarticular injection. One prefilled 4ml syringe, traceability labels, package insert.
Hymovis, monovisc, orthovisc, supartz, synojoynt, synvisc or synviscone, triluron, trivisc, visco3 j3490 j7320 j7321 j7322 j7324 j7325 j7326 than experienced with durolane, euflexxa, and gelsyn j7327 j7329 j7331 j7332 initial therapy medical notes documenting all of the following. It helps provide mechanical support and lubrication to the patients joints that are affected by. Monovisc is similar to the fluid that surrounds the joints in your body. Instructions for use synvisc hylan gf 20 description. Synviscone should be used with caution when there is evidence of lymphatic or venous stasis in the leg to be injected. Viscosupplement for osteoarthritis knee pain relief monovisc. Hypersensitivity reactions including anaphylactic reaction, anaphylactoid reaction, anaphylactic shock and angioedema have been reported for both synvisc and synviscone.
The benefits and risks of repeat injections have not been demonstrated. Rhod immune globulin human ultrafiltered plus 300 g. Synvisc package insert ce description synvisc hylan gf 20 is a sterile, nonpyrogenic, elastoviscous fluid containing hylans. Orthovisc contains nonavian sodium hyaluronate, which helps lubricate and cushion joints. Orthovisc is an ultrapure, high molecular weight injectable hyaluronic acid ha viscosupplement used to treat the joint pain caused by osteoarthritis. Antihemophilic factor human monoclatep factor viii. Monovisc high molecular weight hyaluronan injection. Store in original packaging protected from light at room temperature below 86f 30c. Durolane, orthovisc, monovisc, euflexxa, supartz, hymovis, gelone, gelsyn3, genvisc 850, hyalgan, visco3, synvisc and synviscone are hyaluronan derivatives that are injected into the knee joints to increase the elastoviscous properties of arthritic joint fluid and slow its outflow from the joint. Monovisc is a nonavian sourced viscosupplement that provides early and durable pain relief in a single high concentration injection that is conveniently packaged in a 4 ml volume for ease of use by physicians and minimum injection discomfort for patients. Durolane additional information for treatment of instructions.
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