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COPAXONE FOR MULTIPLE SCLEROSIS PRIOR AUTHORIZATION FORM Coverage Criteria: COPAXONE is covered for members that are diagnosed with definite or probable relapsing remitting MS, secondary progressive
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How to fill out copaxone for multiple sclerosis
How to fill out Copaxone for multiple sclerosis:
01
First, gather all the necessary supplies. This includes a vial or pre-filled syringe of Copaxone, alcohol swabs, cotton balls, and a sharps container for safe disposal of needles.
02
Wash your hands thoroughly with soap and water before starting the injection process.
03
Choose an injection site, typically the fatty tissue on the back of the upper arms, abdomen, hips, or thighs. Rotate the injection site with each injection to minimize discomfort and ensure proper absorption of the medication.
04
Clean the chosen injection site with an alcohol swab and let it dry completely.
05
Take the vial or pre-filled syringe of Copaxone and remove the cap. If using a vial, attach a new needle to the syringe and draw up the appropriate dose as instructed by your healthcare provider. If using a pre-filled syringe, make sure the medication is at room temperature before proceeding.
06
Remove any air bubbles from the syringe by gently tapping it and pushing the plunger slightly to release the air.
07
Pinch the cleaned injection site between your fingers to create a small fold of skin and hold it firmly.
08
Insert the needle into the folded skin at a 90-degree angle and slowly push the plunger to inject the medication. Make sure to inject all the medication.
09
Once the injection is complete, remove the needle from the skin and apply gentle pressure to the injection site with a cotton ball or clean tissue. Do not rub the area.
10
Dispose of the needle and syringe in a sharps container. Do not reuse needles or syringes.
11
Record the date, time, and injection site in a medication log to help track your injections and any potential side effects.
12
It is important to follow the dosing schedule and instructions provided by your healthcare provider. If you have any questions or concerns about filling out Copaxone, consult with your healthcare provider or a pharmacist.
Who needs Copaxone for multiple sclerosis:
01
Copaxone is a medication commonly prescribed for the treatment of relapsing forms of multiple sclerosis (MS). It is specifically used to reduce the frequency of relapses and delay the progression of physical disability.
02
People diagnosed with relapsing-remitting MS or active secondary progressive MS may be recommended Copaxone as part of their treatment plan.
03
The decision to prescribe Copaxone is made by healthcare providers based on individual patient factors, such as the severity of MS symptoms, medical history, and response to other treatments.
04
It is important for individuals with MS to regularly consult with their healthcare provider to determine the most appropriate treatment options, including the use of Copaxone.
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