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OPTIMA HEALTH PLAN PHARMACY PRIOR AUTHORIZATION/STEPPED REQUEST* Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other information
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How to fill out drug name requested please:

01
Start by locating the "Drug Name" field on the form or document you are working with.
02
Enter the name of the drug exactly as it appears on the prescription or medication label. Make sure to spell it correctly and include any generic or brand name as required.
03
If you are unsure about the correct spelling or want to confirm the medication's name, consult the prescription bottle, packaging, or seek assistance from a healthcare professional.
04
Double-check your entry for any typos or errors before submitting the form or document. Accuracy is crucial to avoid any misunderstandings or potential medical mistakes.

Who needs drug name requested please:

01
Individuals who are filling out prescription forms or medical documents that require specific drug information will need the drug name requested.
02
Healthcare professionals, such as doctors, nurses, or pharmacists, may also need this information when reviewing patients' medical records, prescribing medications, or dispensing drugs.
03
Research institutions or organizations conducting studies on medication usage may require the drug name requested for accurate data collection and analysis purposes.
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Drug name requested refers to the specific name of a pharmaceutical product.
The pharmaceutical company or manufacturer is required to file the drug name requested.
Drug name requested can be filled out by providing the specific name of the drug as requested.
The purpose of drug name requested is to accurately identify the pharmaceutical product.
The drug name requested form must include the specific name of the pharmaceutical product being referenced.
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