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Providers.amerigroup.com CONTAINS CONFIDENTIAL PATIENT INFORMATION Nasal Spray Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits

How to fill out nasal spray

How to fill out nasal spray:

1. Remove the cap of the nasal spray bottle.
2. Shake the bottle gently before use to ensure proper mixing of the solution.
3. Tilt your head slightly forward to allow easy access to the nostrils.
4. Insert the tip of the bottle into one nostril, aiming toward the back and outer side of the nose.
5. While inserting the tip, breathe in gently through your nose.
6. Press down on the pump to release a spray of the medication into your nostril. Do not inhale deeply while spraying.
7. Repeat the same process for the other nostril if directed to do so.
8. Avoid blowing your nose immediately after using the nasal spray.
9. Put the cap back on the bottle and store it in a cool, dry place.

Who needs nasal spray:

1. Individuals suffering from seasonal allergies or allergic rhinitis, characterized by symptoms like sneezing, runny nose, and nasal congestion.
2. People with chronic sinusitis, which causes inflammation of the sinuses and leads to nasal congestion, discomfort, and postnasal drip.
3. Those experiencing nasal symptoms due to a cold or flu, such as nasal congestion and inflammation.
4. Individuals with nasal polyps, which are noncancerous growths that can cause nasal blockage, loss of smell, and breathing difficulties.
5. People with hay fever or allergic reactions triggered by substances like pollen, dust mites, pet dander, or mold spores.
6. Individuals with vasomotor rhinitis, a condition characterized by nasal congestion caused by non-allergic triggers like changes in weather, air pollution, or certain foods.
7. People with chronic or recurrent nosebleeds, as certain nasal sprays can help promote healing and prevent bleeding.

It is important to consult with a healthcare professional before using any nasal spray to determine the appropriate type and dosage for your specific condition.

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What is nasal spray?

Nasal spray is a medication that is sprayed into the nostrils to help relieve congestion and other symptoms of nasal conditions.

Who is required to file nasal spray?

Manufacturers, distributors, and sellers of nasal spray products are required to file nasal spray.

How to fill out nasal spray?

Nasal spray can be filled out by providing detailed information about the product, including ingredients, dosage, and intended use.

What is the purpose of nasal spray?

The purpose of nasal spray is to provide relief from nasal congestion and other symptoms of nasal conditions.

What information must be reported on nasal spray?

Information that must be reported on nasal spray includes ingredients, dosage, intended use, and any potential side effects.