Get the free 023 Ophthalmic Antibiotics - 3 - bmchp

PRIOR AUTHORIZATION REQUEST FORM BM CHP 9.023 Ophthalmic Antibiotics 3, Phone: 8885660008 Fax back to: 8663055739 ENVISION RX OPTIONS manages the pharmacy drug benefit for your patient. Certain requests

How to fill out 023 ophthalmic antibiotics

How to fill out 023 ophthalmic antibiotics

1. Step 1: Wash your hands thoroughly with soap and water.
2. Step 2: Gently shake the bottle of ophthalmic antibiotics to ensure the contents are mixed well.
3. Step 3: Tilt your head back and pull down your lower eyelid to create a small pocket.
4. Step 4: Hold the dropper tip close to your eye without touching it, and squeeze the prescribed number of drops into the pocket created by pulling down the lower eyelid.
5. Step 5: Close your eye gently and apply gentle pressure to the inner corner of your eye with your finger for about 1 to 2 minutes. This helps prevent the medication from draining out of your eye and into your bloodstream.
6. Step 6: If you are using ointment instead of drops, squeeze a small amount of ointment into the pocket created by pulling down the lower eyelid. Use a clean finger to apply a thin layer of ointment along the inside of your lower eyelid.
7. Step 7: Blink a few times to spread the medication evenly across your eye.
8. Step 8: Repeat the steps for your other eye if directed by your healthcare provider.
9. Step 9: Recap the bottle tightly and store it in a cool, dry place away from direct sunlight.
10. Step 10: Wash your hands again to remove any residue of the medication.

Who needs 023 ophthalmic antibiotics?

1. People who have been diagnosed with eye infections or conditions caused by bacteria may need to use 023 ophthalmic antibiotics.
2. It is prescribed by healthcare providers to treat conditions like conjunctivitis (pink eye), blepharitis (eyelid inflammation), keratitis (corneal inflammation), and other bacterial eye infections.
3. It is important to follow your healthcare provider's instructions and get a proper diagnosis before starting any treatment.

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What is 023 ophthalmic antibiotics?

023 ophthalmic antibiotics are medications used to treat bacterial infections in the eye.

Who is required to file 023 ophthalmic antibiotics?

All healthcare providers and facilities that prescribe or dispense ophthalmic antibiotics are required to file.

How to fill out 023 ophthalmic antibiotics?

The form for 023 ophthalmic antibiotics can typically be filled out online or submitted electronically through a designated platform.

What is the purpose of 023 ophthalmic antibiotics?

The purpose of 023 ophthalmic antibiotics is to track the usage and distribution of these medications to ensure proper treatment and prevent misuse or overuse.

What information must be reported on 023 ophthalmic antibiotics?

Information such as the name of the patient, prescribing healthcare provider, drug name and dosage, and the reason for prescription must be reported on 023 ophthalmic antibiotics.