There is a lack of reliable evidence that Myobloc is superior to the least cost brands of botulinum toxin: Botox onabotulinumtoxinA , Dysport AbobotulinumtoxinA , and Xeomin IncobotulinumtoxinA. Therefore, Aetna considers Myobloc to be medically necessary only if the member has a contraindication, intolerance or ineffective response to all of the least cost brands of botulinum toxins Botox, Dysport, and Xeomin for the following indications:. Precertification of botulinum toxin [Botox onabotulinumtoxinA ; Dysport abobotulinumtoxinA ; Myobloc rimabotulinumtoxinB ; and Xeomin incobotulinumtoxinA ] is required of all Aetna participating providers and members in applicable plan designs. For precertification, call Commercial , Medicare , or fax Aetna considers onabotulinumtoxinA Botox medically necessary for any of the following conditions:. Member has signs and symptoms consistent with chronic migraine diagnostic criteria as defined by the International Headache Society IHS ;.
Trigger points are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive microtrauma may lead to the development of stress on muscle fibers and the formation of trigger points.
Download PDF. Your hands touch every aspect of your life. You can trust that you'll receive only the highest level of care with our hand specialists. We treat all conditions of the hand, wrist, elbow and forearm in patients of all ages. We treat the simplest to the most complex conditions and provide a comprehensive evaluation and treatment plan.