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UNIFORM PHARMACY PRIOR AUTHORIZATION REQUEST FORM CONTAINS CONFIDENTIAL PATIENT INFORMATION Complete this form in its entirety and send to Rocky Mountain Health Plans at 8583572538 Urgent 1 Monument
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How to fill out makena hydroxyprogesterone caproate injection:

01
Gather all the necessary supplies: Before starting, make sure you have the prescribed makena hydroxyprogesterone caproate injection, a sterile syringe, an alcohol swab, and a sharps disposal container.
02
Prepare the injection site: Choose a clean and sterile area for the injection site, usually the upper outer quadrant of the buttock. Clean the area with an alcohol swab and let it dry.
03
Prepare the medication: Remove the cap from the makena hydroxyprogesterone caproate injection vial and inspect it for any particles or discoloration. If there are any abnormalities, do not use the medication. Draw up the correct dose of medication into the syringe, following the instructions provided by your healthcare provider.
04
Administer the injection: Hold the syringe like a pencil and firmly insert the needle into the prepared injection site at a 90-degree angle. Slowly push the plunger to inject the medication. Once the medication is injected, remove the needle from the injection site.
05
Properly dispose of the sharps: Immediately after the injection, place the used syringe and needle into a sharps disposal container. Do not reuse or share needles, as this can lead to infection or disease transmission.

Who needs makena hydroxyprogesterone caproate injection?

01
Pregnant women at high risk of preterm birth: Makena hydroxyprogesterone caproate injection is predominantly used to reduce the risk of preterm birth in pregnant women who have previously had a spontaneous preterm birth. It is usually recommended for women who delivered prior to 37 weeks of gestation in a previous pregnancy.
02
Women with a shortened cervix: Makena can also be prescribed to pregnant women with a short cervix. The cervix is the lower part of the uterus that opens during labor. A short cervix can increase the risk of preterm birth, and makena injections may help in such cases.
03
Patients advised by their healthcare provider: The decision to administer makena hydroxyprogesterone caproate injection is made by healthcare providers based on individual patient risks and medical history. If you believe you may benefit from this medication, consult with your healthcare provider to determine if it is appropriate for you.
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Makena hydroxyprogesterone caproate injection is a medication used to reduce the risk of preterm birth in pregnant women who have had a prior preterm birth.
Healthcare providers are required to administer and file makena hydroxyprogesterone caproate injection for their patients.
Makena hydroxyprogesterone caproate injection is typically administered by a healthcare provider through an intramuscular injection.
The purpose of makena hydroxyprogesterone caproate injection is to help prevent preterm birth in high-risk pregnancies.
The information reported on makena hydroxyprogesterone caproate injection includes the patient's medical history, dosage administered, administration date, and any adverse reactions.
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