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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 fulyzaq crofelemer:

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Check the prescription: Make sure you have a valid prescription for fulyzaq crofelemer before attempting to fill it out.
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Who needs drug name fulyzaq crofelemer:

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Patients with HIV/AIDS: Fulyzaq crofelemer is primarily prescribed to HIV/AIDS patients who have non-infectious diarrhea.
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Chronic diarrhea sufferers: In some cases, individuals experiencing chronic diarrhea not caused by an infection may be prescribed fulyzaq crofelemer to alleviate symptoms and improve quality of life.
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Individuals with reduced intestinal absorption: Fulyzaq crofelemer may be beneficial for individuals with reduced intestinal absorption, as it helps regulate fluid secretion and improves stool consistency.
It is crucial to note that only a healthcare professional can determine if fulyzaq crofelemer is suitable for an individual's specific medical condition. Therefore, consulting with a physician or pharmacist is necessary before considering this medication.
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Fulyzaq (crofelemer) is a prescription medication used to relieve symptoms of diarrhea in people living with HIV/AIDS who are taking antiretroviral therapy.
The manufacturer or distributor of fulyzaq (crofelemer) is required to file the necessary documentation.
The filing process typically involves submitting the required forms and information to the appropriate regulatory bodies.
The purpose of fulyzaq (crofelemer) is to help manage diarrhea symptoms in individuals with HIV/AIDS who are on antiretroviral therapy.
The information typically includes details about the drug's composition, manufacturing process, clinical trials, and safety data.
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