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Re: and more Cytotec...From: Hugo D. Ribot Jr. (hribot@mindspring.com)Thu Sep 21 12:42:04 2000
Dan: Excuuuuse moi, oh sage and experienced one... Although it says investigational several times, just the fact that it is listed in their policy manual is acknowledgement enough that it has a role. I read it to mean that if you adhere to what they're comfortable with -- vaginal administration of 25 ug q 3 hours, no previous uterine surgery, appropriate medical or obstetric indication(s) for induction, no outpatient use, yada yada -- that it is OK to use. The word investigational appears in association with specific circumstances: - Oral administration - Cervical ripening/softening prior to hysteroscopy Finally, the word investigational *only* appears 3 times, not 6 times. So even though I ordinarily don't exactly consider myself on the side of the insurers/medical reviewers, I have to give the Tennessee Blues some credit for common sense and at least trying to incorporate what the literature supports. I would almost certainly guess the Blue Cross policy statement came out before Seale's idiotic letter. I wonder if it would cause the Blues to amend or reconsider their position. Hugo Ribot M.D., FACOG Cartersville, GA 10+ years, 2 MDs/2 CNMs
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