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CONTAINS CONFIDENTIAL PATIENT INFORMATION ELLIS (taliglucerase alpha) Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits Center at
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What is elelyso taliglucerase alfa?
Elelyso taliglucerase alfa is a medication used to treat a rare genetic disorder called Gaucher disease. It is an enzyme replacement therapy that helps replace the missing or deficient enzyme in the body.
Who is required to file elelyso taliglucerase alfa?
Patients who are prescribed elelyso taliglucerase alfa are not required to file anything. However, healthcare professionals and the manufacturer of the medication may be required to file certain reports or documentation related to its use and distribution.
How to fill out elelyso taliglucerase alfa?
Elelyso taliglucerase alfa is not something that needs to be filled out. It is a medication that is administered through intravenous infusion by a healthcare professional.
What is the purpose of elelyso taliglucerase alfa?
The purpose of elelyso taliglucerase alfa is to help manage the symptoms of Gaucher disease. It helps break down certain substances in the body that can build up in people with this genetic disorder.
What information must be reported on elelyso taliglucerase alfa?
The specific information that needs to be reported on elelyso taliglucerase alfa may vary depending on the country or regulatory requirements. Generally, information such as the patient's name, dosage received, adverse reactions, and the healthcare professional's contact information may be reported.
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