1.Does the patient meet medical necessity for the proposed chemotherapy
2. Is it consistent with patient’s condition or accepted standards of medical practice?
3.Is this medicaly proven to be effective treatment?
4.Is it mainly for convenience?
5.Is it the most appropriate level of services?
6. Does it constitute accepted medical practice…?
7.Was informed consent utilized or procedure reviewed by IRB?
8.Does Federal Law require such approval?
9.Does reliable evidence indicate that it is subject to on-going phase I, II clinical trials, is the research arm of phase III trial, or otherwise under study…?
10.Does reliable evidence show that the prevailing opinon among experts is that farther studies are necessary…?
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