Do you offer home administration of ESAs for your patients with anemia of chronic kidney disease?

Yes, it the patient's prescription drug plan allows it. Traditional Medicare does not allow home administration of ESAs since they are covered under part B rather than part D. However, many Medicare Advantage and commercial insurers do allow for home administration of ESAs, so I offer that option to...

No ESA, not even Mircera, is meant to be given just once a month. Since it is very difficult to get patients into the office more than once a month, I prefer home administration whenever possible. I would give Procrit twice a week or Aranesp once a week. This will most often result in a lower total ...

We have not so far, but it is a good idea if the patient can do it and insurance covers it. We have been having patients come to our clinic once a month for injections. Many times, since patients have advanced CKD, I have actually been seeing them as a follow up visit at the same time also.