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Date PRIOR AUTHORIZATION QUESTIONNAIRE Burton (extended release for injectable suspension) M.D. Last Name: Physician Phone: M.D. First Name: Physician Fax: Patient ID# DOB **FAILURE TO COMPLETE THE
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How to fill out extendedrelease for injectable suspension

How to fill out extended-release for injectable suspension:
01
Start by reading the instructions provided with the extended-release injectable suspension. Make sure you understand the dosage, frequency, and any specific administration instructions.
02
Gather all the necessary supplies, including the vial of the extended-release injectable suspension, a sterile needle, and a syringe appropriate for the prescribed dosage.
03
Cleanse your hands thoroughly with soap and water or an alcohol-based hand sanitizer. Ensure that your work area is clean and sterile.
04
Carefully inspect the vial of the extended-release injectable suspension. Check for any damage or contamination. If you notice any abnormalities, do not use the medication and contact your healthcare provider or pharmacist.
05
Use an alcohol swab to clean the rubber stopper on top of the vial. This step helps prevent introducing any bacteria into the solution.
06
Withdraw the required amount of the extended-release injectable suspension into the syringe. Follow the instructions given by your healthcare provider for the correct dosage.
07
Remove any air bubbles from the syringe by gently tapping or flicking it with your finger. Push the plunger slightly to expel the air if necessary.
08
Prepare the injection site on your body. Cleanse the area with an alcohol swab and let it dry completely.
09
Hold the syringe like a pencil or dart, with your dominant hand. Use your other hand to stretch the skin around the injection site taut.
10
Insert the needle into the injection site at a 90-degree angle. Slowly and steadily, push the plunger to administer the extended-release injectable suspension.
11
Once the medication is fully injected, remove the needle from your skin. Apply gentle pressure with a clean cotton ball or gauze to stop any bleeding.
12
Properly dispose of the used syringe and needle in a designated sharps container, following safety guidelines.
Who needs extended-release for injectable suspension?
01
Patients with certain medical conditions requiring a controlled and continuous release of medication may need extended-release for injectable suspension. These conditions can include chronic pain, hormonal imbalances, certain infections, or neurological disorders.
02
Extended-release formulations provide a more gradual release of medication into the body, allowing for longer-lasting effects and reduced frequency of administration compared to immediate-release medications.
03
It is essential to consult with a healthcare provider to determine if extended-release for injectable suspension is appropriate for your specific medical condition and needs. They will assess your symptoms, medical history, and other factors to determine the best treatment option for you.
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What is extended-release for injectable suspension?
Extended-release for injectable suspension is a type of medication that is formulated to release the active ingredient slowly over an extended period of time after it is injected.
Who is required to file extended-release for injectable suspension?
The manufacturer or distributor of the medication is required to file extended-release for injectable suspension with the appropriate regulatory agency.
How to fill out extended-release for injectable suspension?
Extended-release for injectable suspension should be filled out according to the guidelines provided by the regulatory agency, including information on the active ingredient, dosage form, and manufacturing process.
What is the purpose of extended-release for injectable suspension?
The purpose of extended-release for injectable suspension is to provide a controlled release of the active ingredient, which can lead to a longer duration of action and fewer doses required.
What information must be reported on extended-release for injectable suspension?
Information that must be reported on extended-release for injectable suspension includes details on the formulation, stability, and bioavailability of the medication.
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