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SUSANNA, CONS TA, AND RELIEVE Prior Authorization Form IF THIS IS AN URGENT REQUEST, Please Call UPMC Health Plan Pharmacy Services. Otherwise, please return completed form to: UPMC HEALTH PLAN PHARMACY
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How to fill out sustenna consta and relprevv:

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Read the instructions: Before filling out sustenna consta or relprevv, it is important to carefully read the instructions provided with the medication. The instructions will give you step-by-step guidance on the correct way to fill out and administer the medication.
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Prepare the medication: Gather all the necessary materials needed to fill out sustenna consta or relprevv, including the medication itself, the diluent, a syringe, and any other supplies mentioned in the instructions. Make sure the medication is stored properly and not expired.
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Follow proper aseptic technique: Before starting the process, wash your hands thoroughly with soap and water. Ensure that the work area is clean and free from any contaminants. It is important to maintain aseptic technique throughout the process to minimize the risk of infection.
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Reconstitute the medication: If required, you may need to reconstitute the sustenna consta or relprevv medication before administration. Follow the specific instructions provided with the medication to mix the medication with the diluent. Be gentle while mixing to avoid excessive foaming or shaking.
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Draw the medication: Use a syringe to draw the appropriate amount of medication according to the instructions. Pay attention to any specific markings or measurements mentioned. Take care not to introduce air bubbles into the syringe while drawing the medication.
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Administer the medication: Once the medication is properly prepared, follow the recommended route of administration as instructed. This might involve injecting the medication into a specific muscle or using other delivery methods specified. Ensure proper disposal of any medical waste, such as sharps containers.

Who needs sustenna consta and relprevv:

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Individuals with certain mental health conditions: Sustenna consta and relprevv are medications commonly prescribed for individuals with mental health conditions such as schizophrenia and bipolar disorder. These medications help manage symptoms and improve the overall quality of life for those suffering from these conditions.
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Patients who require long-acting injectable treatment: Sustenna consta and relprevv are long-acting injectable formulations of medication. They are suitable for patients who may have difficulty adhering to a daily oral medication regimen or who may benefit from the steady release of medication over an extended period.
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Those experiencing medication non-adherence: Some patients may struggle with medication adherence for various reasons, which can hinder treatment effectiveness. Sustenna consta and relprevv provide a convenient option for these individuals, as they only require periodic administration, typically every few weeks or months.
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Treatment-resistant cases: In certain cases, individuals may not adequately respond to oral medications or may develop resistance to them over time. Sustenna consta and relprevv may be considered as alternative treatment options for such cases, offering a different mode of action and potentially better symptom management.
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Consultation with a healthcare professional: Ultimately, the decision to use sustenna consta or relprevv should be made in consultation with a healthcare professional. They can assess the individual's specific needs, medical history, and treatment goals to determine whether these medications are appropriate and provide guidance on their proper use.
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Sustenna Consta and Relprevv are long-acting injectable formulations of medication used for the treatment of certain mental health conditions.
Healthcare providers are required to administer and file the necessary documentation for Sustenna Consta and Relprevv.
Sustenna Consta and Relprevv must be filled out by the healthcare provider administering the medication, including relevant patient information and dosage details.
The purpose of Sustenna Consta and Relprevv is to provide a long-lasting treatment option for patients with mental health conditions.
Information such as patient demographics, medication dosage, administration date, and healthcare provider details must be reported on Sustenna Consta and Relprevv.
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