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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 Initial Request
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How to fill out gilenya fingolimod mc

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How to fill out Gilenya Fingolimod MC:

01
Start by carefully reading the instructions provided with the medication. Make sure you understand the dosage and administration guidelines.
02
Gather all the necessary supplies, including the Gilenya Fingolimod MC capsules, a glass of water, and any other items mentioned in the instructions.
03
Wash your hands thoroughly to ensure cleanliness before handling the medication.
04
Open the container of Gilenya Fingolimod MC capsules. Take out the prescribed dosage as directed by your healthcare provider.
05
Swallow the capsule(s) whole with a full glass of water. Do not crush, chew, or break the capsule(s) before swallowing.
06
If your healthcare provider has advised you to take Gilenya Fingolimod MC with food, please do so. Follow any specific instructions regarding timing or restrictions on food or drink intake.
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Once you have taken the medication, continue with your daily routine as instructed by your healthcare provider.

Who needs Gilenya Fingolimod MC:

01
Gilenya Fingolimod MC is a medication primarily prescribed for adults with relapsing forms of multiple sclerosis (MS). It is used to reduce the frequency of relapses and delay the progression of physical disability associated with the disease.
02
The decision to prescribe Gilenya Fingolimod MC is made by a healthcare provider based on the individual patient's medical history, symptoms, and clinical evaluation.
03
Gilenya Fingolimod MC may be suitable for patients who have experienced previous relapses or have active inflammation in the central nervous system, as determined by diagnostic tests such as magnetic resonance imaging (MRI) or clinical assessments.
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It is important to note that Gilenya Fingolimod MC is not suitable for everyone. Patients with certain medical conditions, such as certain heart rhythm disorders, recent heart attack, or severe infections, may not be eligible for this medication.
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The use of Gilenya Fingolimod MC during pregnancy should be discussed with a healthcare provider, as it may pose potential risks to the developing fetus.
Please consult with your healthcare provider for personalized instructions and indications for Gilenya Fingolimod MC.
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