Through the process established by the Centers for Medicare and Medicaid Services (CMS), Thomson Reuters DRUGDEX® is recognized as a compendium for the determination of payment for medically-accepted off-label indications for anti-cancer regimens. Effective January 1, 2010, new requirements were added to the CMS compendia evaluation process that require compendia to utilize transparent processes to evaluate therapies and to identify potential conflicts of interest. Specifically, with respect to an internal or external "request" for inclusion of a therapy in a compendium, publishers of compendia must now make the following information available via their public Web sites1:

1.       Criteria used to evaluate the request (therapy)

2.       Evidentiary materials reviewed or considered

3.       Names of individuals who have substantively participated in the review or disposition of the request  

4.       Meeting minutes and records of votes for disposition of the request (therapy)

In addition, certain information regarding direct or indirect financial relationships or ownership and investment interests between an individual (or their spouse or minor child) who substantively participates in the development or disposition of compendia recommendations and the manufacturer or seller of a drug or biological being reviewed must be made publicly available in response to a public request for such information.

To meet these requirements, documents detailing this information for each drug/indication pair published on or after January 1, 2010 are posted on this site. Information is organized by drug name, with the document title indicating the off-label indication.

1Federal Register 2009;74(226):61901-61904.
http://edocket.access.gpo.gov/2009/pdf/E9-26502.pdf(accessed March 8, 2010).


Acitretin
Prophylaxis of skin cancers, in high-risk renal transplant recipients  PDF

Alemtuzumab
Primary Cutaneous T-Cell Lymphoma PDF

Bendamustine
Metastatic Breast Cancer PDF

Bevacizumab
Colon cancer, adjuvant therapy in combination with fluorouracil, leucovorin, and oxaliplatin PDF
Metastatic Breast Cancer HER2 Negative PDF
Metastatic breast cancer, HER2-negative, first-line therapy in combination with chemotherapy (except paclitaxel) PDF
Metastatic breast cancer, HER2-negative, first-line therapy in combination with paclitaxel PDF
Nonsquamous non-small cell lung cancer, advanced or recurrent, first-line therapy in combination with cisplatin and gemcitabine PDF

Capecitabine
Stage III colon cancer, adjuvant, in combination with oxaliplatin PDF

Carboplatin
Metastatic breast cancer, HER2 overexpression, first-line therapy in combination with a taxane and trastuzumab PDF
Ovarian cancer, early stage epithelial, adjuvant  PDF
Testicular seminoma, stage I, adjuvant, monotherapy PDF

Celecoxib
Prevention of sporadic colorectal adenomas, in high-risk patients PDF

Cetuximab
Gastric or gastroesophageal junction cancer, advanced, as first-line therapy in combination with fluoropyrimidine-based chemotherapy  PDF

Cisplatin
Non-Hodgkin Lymphoma Relapse Refractory PDF
Pancreatic Cancer, locally advanced or metastatic, first-line therapy in combination with gemcitabine PDF
Thyroid Cancer Advanced Combo Doxorubicin PDF

Dasatinib
Chronic Phase Chronic Myeloid Leukemia Philadelphia Chromosome Positive PDF

Exemestane
Breast cancer, Neoadjuvant therapy for hormone receptor-positive disease in postmenopausal women PDF
Prevention of invasive breast cancer in postmenopausal women at increased risk  PDF

Gefitinib
Head and Neck Cancer PDF

Gemcitabine
Mantle Cell Lymphoma PDF
Ovarian Cancer PDF

Imatinib
Acute lymphoblastic leukemia, Philadelphia chromosome positive, newly diagnosed, as part of combination therapy [pediatric] PDF

Lenalidomide
Myelofibrosis PDF

Oxaliplatin
Pancreatic cancer, advanced or metastatic, second-line therapy in combination with 5-fluorouracil and leucovorin PDF

Panitumumab
Metastatic colorectal cancer, wild-type KRAS mutation, second-line therapy following fluoropyrimidine-containing chemotherapy, in combination with fluorouracil, leucovorin, and irinotecan (FOLFIRI regimen) PDF

Metastatic colorectal cancer, wild-type KRAS mutation, first-line therapy, in combination with infusional fluorouracil, leucovorin, and oxaliplatin (FOLFOX4 regimen) PDF

Rituximab
Mantle cell lymphoma, untreated, induction therapy, in combination with anthracycline based regimens PDF

Sorafenib
Non-small Cell Lung Cancer Advanced PDF

Toremifene citrate
Prophylaxis of vertebral fracture, Secondary to androgen deprivation therapy in patients with prostate cancer PDF

Vandetanib
Non-small cell lung cancer, locally advanced or metastatic, after failure of first- or second-line chemotherapy PDF