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OPTIMA HEALTH PLAN PHARMACY PRIOR AUTHORIZATION/STEPPED REQUEST* Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other information
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How to fill out drug name
How to fill out drug name?
01
Start by locating the designated field or space provided for the drug name.
02
Write the name of the drug clearly and legibly in the designated space.
03
If the drug has a generic name and a brand name, it is recommended to write both names to avoid any confusion.
04
Be sure to double-check the spelling of the drug name to ensure accuracy.
Who needs drug name?
01
Healthcare professionals: Doctors, nurses, pharmacists, and other healthcare professionals need the drug name to accurately prescribe, dispense, and administer medications to patients.
02
Pharmacists: Pharmacists need the drug name to accurately dispense the correct medication to patients and ensure patient safety.
03
Patients: Patients may need to provide the drug name when filling out medical forms, discussing their medication history with healthcare providers, or reporting adverse drug reactions.
04
Researchers: Researchers need the drug name to conduct studies, analyze data, and evaluate the safety and efficacy of medications.
05
Regulatory authorities: Regulatory authorities require the drug name for drug approval processes, monitoring medication safety, and ensuring compliance with regulations.
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Insurance providers: Insurance providers may need the drug name to determine coverage and reimbursement for medications.
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Drug manufacturers: Drug manufacturers need the drug name to produce and label medications accurately.
08
Law enforcement: Law enforcement agencies may need the drug name to monitor controlled substances and prevent illegal drug activities.
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