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Catalan Ophthalmic solution Ticket #: Request Date: Request Time: PHYSICIAN CERTIFICATION PRIOR AUTHORIZATION From A request for the patient identified below has been made for the dispensing of Catalan
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How to fill out cystaran ophthalmic solution

How to fill out cystaran ophthalmic solution:
01
Wash your hands thoroughly with soap and water.
02
Gently shake the bottle of cystaran ophthalmic solution to ensure the contents are properly mixed.
03
Remove the cap from the bottle and hold it upright.
04
Tilt your head back and look upward.
05
Use your finger to gently pull down your lower eyelid to create a small pocket.
06
Squeeze the bottle gently to administer one drop of the solution into the pocket of your lower eyelid. Be careful not to touch your eye or eyelashes with the dropper tip.
07
Release your lower eyelid and close your eye gently.
08
Keep your eye closed for a few seconds to allow the solution to spread across your eye.
09
If your healthcare provider has instructed you to use more than one drop, wait at least 5 minutes before administering the next drop.
10
Replace the cap on the bottle tightly to prevent contamination.
11
Wash your hands again to remove any residual solution.
12
Use the cystaran ophthalmic solution according to the recommended dosage and frequency prescribed by your healthcare provider.
Who needs cystaran ophthalmic solution:
01
Individuals diagnosed with cystinosis, a rare genetic disorder that causes a buildup of cystine crystals in various organs and tissues of the body, including the eyes.
02
Those experiencing symptoms related to cystinosis affecting the eyes, such as eye pain, increased sensitivity to light, redness, or blurred vision.
03
Patients under the guidance of their healthcare provider who have determined that cystaran ophthalmic solution is an appropriate treatment option for their condition.
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What is cystaran ophthalmic solution?
Cystaran ophthalmic solution is a medication used to treat corneal cystine crystal accumulation in patients with cystinosis.
Who is required to file cystaran ophthalmic solution?
Healthcare professionals are required to administer and report the use of cystaran ophthalmic solution for their patients.
How to fill out cystaran ophthalmic solution?
Cystaran ophthalmic solution should be administered directly into the eye according to the prescribing healthcare professional's instructions.
What is the purpose of cystaran ophthalmic solution?
The purpose of cystaran ophthalmic solution is to reduce corneal cystine crystal accumulation in patients with cystinosis.
What information must be reported on cystaran ophthalmic solution?
Information such as patient demographics, dosage administered, frequency of administration, and any observed side effects should be reported for each use of cystaran ophthalmic solution.
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