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This document serves as a re-supply form for ordering the drug Taxotere, providing necessary information for the order process and other relevant details.
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How to fill out taxotere re-supply form
How to fill out TAXOTERE RE-SUPPLY FORM
01
Obtain the TAXOTERE RE-SUPPLY FORM from your healthcare provider or their website.
02
Fill out your personal information, including full name, date of birth, and contact information.
03
Provide the details of your healthcare provider, including their name, address, and contact number.
04
Indicate your insurance information, if applicable, including policy number and provider.
05
Specify the dosage and quantity of TAXOTERE needed.
06
Describe your medical condition and why TAXOTERE is necessary for your treatment.
07
Sign and date the form to acknowledge the information provided is accurate.
08
Submit the completed form as instructed, either electronically or via mail.
Who needs TAXOTERE RE-SUPPLY FORM?
01
Patients undergoing chemotherapy who require TAXOTERE as part of their treatment plan.
02
Healthcare providers or pharmacists needing to authorize the medication.
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In multi-center clinical trial of patients enrolled in the Southwest Oncology Group (SWOG), the 334 men treated with docetaxel/estramustine lived an average of 18 months, compared with 16 months for the 332 men treated with the standard chemotherapy treatment mitoxantrone/prednisone.
Is docetaxel worth it?
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Docetaxel is normally given after hormone treatment has failed. But results, to be presented at the American Society of Clinical Oncology, will show earlier treatment can extend life expectancy from 43 to 65 months.
How is docetaxel supplied?
16.1 How Supplied Docetaxel Injection, USP is supplied in single-dose or multiple-dose vials as a sterile, pyrogen-free, non-aqueous pale-yellow to brownish yellow solution.
What is the life expectancy of a person on docetaxel?
The median overall survival (OS) was 81 months with docetaxel plus standard of care (hormonal therapy with or without radiotherapy) versus 71 months with standard of care alone (0.78; 95% CI, 0.66-0·93;P= . 006).
What is the price of Taxotere injection?
Taxotere Docetaxel Injection, Emcure Sanofi at ₹ 2500/vial in Thane ID: 23472324248.
What is the success rate of docetaxel?
Docetaxel (Taxotere) has been shown to be one of the most active cytotoxic agents in patients with cancer, achieving response rates of 41% when used as second-line treatment for metastatic cancer (34% in anthracycline-refractory patients) and 50-72% when used as first-line therapy.
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What is TAXOTERE RE-SUPPLY FORM?
The TAXOTERE RE-SUPPLY FORM is a document used for the reporting and management of inventory related to the chemotherapy drug Taxotere, often used in the treatment of certain types of cancer.
Who is required to file TAXOTERE RE-SUPPLY FORM?
Healthcare providers, pharmacies, and organizations that handle, distribute, or administer Taxotere are typically required to file the TAXOTERE RE-SUPPLY FORM.
How to fill out TAXOTERE RE-SUPPLY FORM?
To fill out the TAXOTERE RE-SUPPLY FORM, one should provide details such as the quantity of Taxotere being replenished, the date of supply, and any relevant patient or prescription information as required by the form.
What is the purpose of TAXOTERE RE-SUPPLY FORM?
The purpose of the TAXOTERE RE-SUPPLY FORM is to ensure proper tracking and accountability of Taxotere supplies, helping to maintain inventory control and compliance with regulations.
What information must be reported on TAXOTERE RE-SUPPLY FORM?
Information that must be reported on the TAXOTERE RE-SUPPLY FORM includes the drug's quantity, batch number, expiration date, supplier information, and any associated patient or prescription data.
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