ARANESP (Darbepoetin)		version 1/23/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		
	☑	Nursing communication	Every visit	S	Until discont'd	
		Please continue to schedule subsequent infusion appointments manually as appropriate.		

Provider Communication 	

	
	Interval	Defer Until	Duration	
	☐	Coverage Determination Considerations: Hemoglobin must be less than 10 g/dL (hematocrit less than 30%) and obtained within 14 days.	Once	S	1 treatment	
		For 1st dose only.		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	Hemoglobin & hematocrit	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		
	☐	CBC with platelet and differential	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		
	☐	Iron level	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		
	☐	Total iron binding capacity	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		
	☐	Ferritin level	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		
	☐	Transferrin level	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		
	☐	Creatinine level	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		

Nursing Orders 	

	
	Interval	Defer Until	Duration	
	☐	Nursing communication	Every visit	S	Until discont'd	
		Ensure hemoglobin / hematocrit results have been obtained before each dose. If not, please obtain.		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	darbepoetin (ARANESP) injection solution				
		subcutaneous, once, Starting when released