Can the nephrology practitioner share additional information with the patient along with the Medication Guide?
Yes. Nephrology practitioners are entitled to provide their patients with written information that discusses issues such as: (1) what ESA’s are; (2) why the patient has been prescribed ESAs; (3) what hemoglobin tests measure, why they are important and the current guidelines for appropriate hemoglobin ranges; and (4) further details on the benefits and risks of ESA therapy. Some practices may choose to prepare a letter that addresses these issues to accompany the Medication Guide, and in fact the medication guideline can be appended to a letter similar to the “package inset” provided with all prescribed drugs.
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