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Aetna Specialty Pharmacy Patient Referral/Medication Request Hemophilia Today s Date: 503 Support Lane Orlando, FL 32809 Phone: 1-866-782-2779 (1-866-782-ASRX) FAX: 1-866-329-2779 (1-866 FAX-ASRX)
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How to fill out tricare approved hemophilia drugs

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How to fill out tricare approved hemophilia drugs:

01
Obtain a prescription from a healthcare provider specializing in hemophilia care.
02
Verify that the prescribed medication is on the tricare approved hemophilia drugs list.
03
Contact the tricare pharmacy or a tricare network pharmacy to ensure availability of the prescribed medication.
04
Provide the necessary information such as name, rank, and tricare identification card details to the pharmacist.
05
Specify the quantity of the medication needed and the desired delivery method (mail, home delivery, or local pharmacy pick-up).
06
Confirm any copayment or out-of-pocket expenses associated with obtaining the medication.
07
Follow any additional instructions provided by the pharmacist or tricare representative regarding the dispensing process and proper storage of the medication.

Who needs tricare approved hemophilia drugs:

01
Individuals diagnosed with hemophilia, a bleeding disorder where the blood lacks clotting factors, typically require these medications.
02
People with severe or moderate hemophilia may need tricare approved hemophilia drugs to manage and prevent bleeding episodes.
03
Tricare, a health insurance program for military members, veterans, and their families, covers approved hemophilia drugs for eligible beneficiaries who require them for their health condition.
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