ICD Code - (Y42.5-Y42.6)
Mycophenolate Mofetil
This medication is an immunosuppressant, prescribed for prevention of organ rejection.
ICD Code - Y43.4
Alefacept
Alefacept is a genetically modified immunosuppressive drug prescribed for treating moderate to severe chronic plaque psoriasis in adult patients who are candidates for phototherapy or systemic therapy.
Basiliximab
This medication is a monoclonal antibody, prescribed for prevention of rejection in renal transplant patients.
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Belimumab
This medication is a monoclonal antibody, prescribed for active, autoantibody-positive, systemic lupus erythematosus (SLE) who are receiving standard therapy.
Ciclosporin
This medication is an immunosuppressant, prescribed for rejection of organ during transplantation.
Cyclosporine
This medication is an immunosuppressant, prescribed for prevention of organ rejection during transplantation.
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Cytomegalovirus Immune Globulin
This medication is an intravenous immune globulin (IGIV), prescribed for cytomegalovirus (CMV) disease associated with kidney, lung, liver, pancreas, and heart transplants.
Daclizumab
This medication is an immunosuppressive agent, prescribed for acute organ rejection during kidney transplantation.
Everolimus
This medication is a kinase inhibitor, prescribed for kidney cancer, pancreatic cancer, brain tumor(astrocytoma), hormone-receptor–positive breast cancer in postmenopausal women and prevents organ rejection in kidney therapy.
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Lymphocyte immune globulin/anti-thymocyte
Mycophenolatemofetil
Natalizumab
This medication is a humanized monoclonal antibody, prescribed for multiple sclerosis and Crohn's disease.
Respiratory Syncitial Virus Immuneglobulin
Sirolimus
This medication is an immunosuppressant, prescribed for preventing rejection of kidney transplants either alone or with other medications.
Tacrolimus
This medication is an immunosuppressant, prescribed for preventing organ rejection during transplantation.
Thymoglobulin
This medication is an immunosuppressant, prescribed for preventing organ rejection during kidney transplantation by reducing natural immunity.