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Last Published 04.01.2026 Effective Date: 04.01.2026 This policy addresses the use of erythropoiesis-stimulating agents (ESAs), including Aranesp (darbepoetin alfa), Epogen (epoetin alfa), Mircera (methoxy polyethylene glycol-epoetin beta [MPG-epoetin beta]), Procrit (epoetin alfa), and Retacrit (epoetin alfa)

The STEP trials evaluated dose escalation, tracked side effects, and assessed long-term durability

A key area of study has been its ability to restore testosterone levels without negatively impacting fertility, a common side effect of traditional testosterone replacement

Benign paroxysmal positional vertigo (BPPV), inner ear infections, and other vestibular conditions cause dizziness independently and can coincide with starting a new medication purely by timing