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CONTAINS CONFIDENTIAL PATIENT INFORMATION Solarize (diclofenac sodium3%) Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits Center
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How to fill out solaraze diclofenac sodium-3

How to fill out solaraze diclofenac sodium-3:
01
Wash your hands thoroughly before handling the medication.
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Gently clean the affected area with mild soap and water and pat it dry.
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Squeeze a small amount of solaraze diclofenac sodium-3 onto your fingertip.
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Apply the medication to the affected area and gently rub it in until it is absorbed.
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Wash your hands again after applying the medication, unless the treated area is on your hands or fingers.
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Avoid applying solaraze diclofenac sodium-3 to cuts, open wounds, or irritated skin.
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Do not cover the treated area with bandages, dressings, or tight clothing unless instructed to do so by your doctor.
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Use solaraze diclofenac sodium-3 as directed by your healthcare provider.
Who needs solaraze diclofenac sodium-3:
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Individuals suffering from osteoarthritis: Solaraze diclofenac sodium-3 is commonly prescribed to relieve pain and inflammation associated with osteoarthritis. It can help reduce joint stiffness, improve mobility, and enhance overall comfort for those with this condition.
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Patients with actinic keratosis: Solaraze diclofenac sodium-3 is also used for the treatment of actinic keratosis, a skin condition characterized by rough, scaly patches caused by excessive sun exposure. It helps to reduce the size and appearance of these lesions, potentially preventing the development of skin cancer.
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Individuals with other inflammatory conditions: Solaraze diclofenac sodium-3 may be prescribed to individuals with other inflammatory conditions, such as tendonitis or bursitis, where pain, swelling, and inflammation are present. It can assist in managing symptoms and promoting healing in these cases.
It is important to note that the use of solaraze diclofenac sodium-3 should always be prescribed and supervised by a healthcare professional, as they will determine the appropriate dosage and duration based on individual needs and medical history.
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What is solaraze diclofenac sodium-3?
Solaraze diclofenac sodium-3 is a medication that is used to treat actinic keratoses, a skin condition caused by too much sun exposure.
Who is required to file solaraze diclofenac sodium-3?
Solaraze diclofenac sodium-3 can be prescribed by doctors and must be filed by the patients who are using it.
How to fill out solaraze diclofenac sodium-3?
To fill out solaraze diclofenac sodium-3, follow the instructions provided by your healthcare provider. It typically involves applying a thin layer of the medication to the affected skin area.
What is the purpose of solaraze diclofenac sodium-3?
The purpose of solaraze diclofenac sodium-3 is to reduce the growth of abnormal skin cells and treat actinic keratoses.
What information must be reported on solaraze diclofenac sodium-3?
The specific information to be reported on solaraze diclofenac sodium-3 may vary, but generally, it includes the patient's personal information, medical history, dosage instructions, and any potential side effects experienced.
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