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CONTAINS CONFIDENTIAL PATIENT INFORMATION (citrate nasal spray) Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits Center at 18006014829
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How to fill out citrate nasal spray

01
Read the instructions provided with the citrate nasal spray bottle carefully.
02
Shake the bottle gently before use to ensure the solution is well-mixed.
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Remove the cap from the bottle.
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Tilt your head slightly forward.
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Insert the nozzle into one nostril, making sure it is placed just inside.
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Close the other nostril by pressing your finger against it.
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Press down on the pump to release one spray of the citrate nasal spray.
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Breathe in gently through the nostril while spraying the solution.
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Repeat the process for the other nostril if required.
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Wipe the nozzle after use and put the cap back on.
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Store the citrate nasal spray in a cool, dry place.
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Follow the recommended dosage and frequency as prescribed by your healthcare provider.

Who needs citrate nasal spray?

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People suffering from nasal congestion or sinus congestion can benefit from using citrate nasal spray.
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Citrate nasal spray is helpful for individuals with allergies or hay fever, as it can alleviate symptoms such as a runny or stuffy nose.
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Those with chronic sinusitis or rhinitis may find relief by using citrate nasal spray.
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Citrate nasal spray can be recommended by healthcare professionals for people experiencing nasal dryness or irritation.
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Individuals prone to sinus infections or sinus-related headaches may find citrate nasal spray helpful in reducing discomfort.
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It is important to consult with a healthcare professional to determine if citrate nasal spray is suitable for your specific condition.
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Citrate nasal spray is a medication that is used to relieve nasal congestion.
Medical professionals or pharmaceutical companies may be required to file citrate nasal spray with regulatory authorities.
Citrate nasal spray should be filled out with information about the dosage, ingredients, and usage instructions.
The purpose of citrate nasal spray is to provide relief from nasal congestion and improve breathing.
Information such as the brand name, active ingredients, expiration date, and potential side effects must be reported on citrate nasal spray.
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