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BELUGA PRIOR APPROVAL REQUEST Additional information is required to process your claim for prescription drugs. Please complete the cardholder portion, and have the prescribing physician complete the
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How to fill out buccal film
How to fill out buccal film:
01
Wash your hands thoroughly before handling the buccal film.
02
Open the package of buccal film carefully, ensuring not to damage the film.
03
Take out the buccal film from the package using clean and dry hands.
04
Place the buccal film on the inside of the cheek, against the gum.
05
Hold the buccal film in place gently using your finger or tongue for a few seconds until it sticks to the gum.
06
Avoid touching or disturbing the buccal film with your tongue or fingers while it dissolves.
07
Allow the buccal film to dissolve completely. This may take a few minutes.
08
Once the buccal film has dissolved, do not spit or rinse your mouth for at least 30 minutes to allow the medication to be absorbed properly.
Who needs buccal film:
01
Individuals who have difficulty swallowing or who cannot tolerate oral medications.
02
Patients with certain medical conditions that affect the gastrointestinal tract, such as nausea or vomiting, making it challenging to absorb medications through the stomach.
03
Children or elderly individuals who struggle with swallowing pills.
04
Individuals who require medications that have better absorption through the buccal mucosa.
Please note that this is general information and it is important to consult with a healthcare professional or read the specific instructions provided with the buccal film for accurate and personalized guidance on how to fill it out.
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What is buccal film?
Buccal film is a thin sheet of medication that is placed in the mouth against the cheek.
Who is required to file buccal film?
Healthcare professionals and pharmacies may be required to file buccal film.
How to fill out buccal film?
Buccal film is filled out by following the instructions provided by the healthcare provider or pharmacist.
What is the purpose of buccal film?
The purpose of buccal film is to deliver medication directly into the bloodstream through the lining of the cheek.
What information must be reported on buccal film?
The information to be reported on buccal film includes the name of the medication, dosage, and administration instructions.
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