Get the free Erivedge (vismodegib) R - Caremark
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Send completed form to: Service Benefit Plan BRIDGE Prior Approval P.O. Box 52080 MC 139 PRIOR APPROVAL REQUEST Phoenix, AZ 85072-2080 Additional information is required to process your claim for
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What is erivedge vismodegib r?
Erivedge Vismodegib r is a medication used to treat advanced basal cell carcinoma, a type of skin cancer.
Who is required to file erivedge vismodegib r?
Only healthcare professionals authorized to prescribe medication are required to file Erivedge Vismodegib r.
How to fill out erivedge vismodegib r?
To fill out Erivedge Vismodegib r, healthcare professionals should follow the instructions provided by the prescribing information and ensure they accurately record the necessary information.
What is the purpose of erivedge vismodegib r?
The purpose of Erivedge Vismodegib r is to inhibit the Hedgehog signaling pathway, which plays a role in the development of basal cell carcinoma, ultimately treating the disease.
What information must be reported on erivedge vismodegib r?
The information that must be reported on Erivedge Vismodegib r includes the patient's medical history, dosage, treatment duration, and any adverse effects experienced.
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