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SPECIALTY PRESCRIPTION DRUG PRIOR AUTHORIZATION REQUEST PO BOX 220 MONCTON NB E1C 8L3 TEL: 18006674511 FAX: 18446612640 PO BOX 3300, STATION B MONTREAL QC H3B 4Y5 TEL: 18888739200 FAX: 15142868480

How to fill out 18006674511 form

How to fill out specialty prescription drug

1. Obtain a prescription: First, you need to consult with your healthcare provider or specialist who will determine if a specialty prescription drug is necessary for your condition.
2. Find a specialty pharmacy: Once you have the prescription, locate a specialty pharmacy that can provide the medication. These pharmacies are equipped to handle complex medications and ensure proper storage and delivery.
3. Contact the pharmacy: Reach out to the specialty pharmacy and provide them with your prescription details. They will guide you through the process and may require additional information such as insurance details.
4. Submit required documents: Fill out any necessary forms or applications from the specialty pharmacy. This may include providing health insurance information, prior authorization forms, or financial assistance applications.
5. Provide medication information: Inform the pharmacy about any specific medication instructions or preferences you have. This can include dosage strengths, delivery methods, or any allergic reactions you may have experienced in the past.
6. Coordinate insurance coverage: Work with the pharmacy and your insurance provider to ensure coverage for the specialty prescription drug. This may involve prior authorizations, copayments, or navigating any coverage restrictions.
7. Receive the medication: Once all the necessary steps are completed, the specialty pharmacy will deliver the medication to your preferred address or offer alternative pickup options. Ensure you understand the storage requirements and medication administration guidelines.
8. Follow up with healthcare provider: Keep in touch with your healthcare provider or specialist to monitor the effectiveness of the specialty prescription drug. Report any side effects or concerns to them for appropriate adjustments or guidance.

Who needs specialty prescription drug?

1. Patients with complex medical conditions: Specialty prescription drugs are often prescribed for individuals with complex diseases or conditions that require specialized medications.
2. Patients with rare diseases: Specialty drugs are commonly used to treat rare diseases and genetic disorders that have limited treatment options.
3. Patients with chronic illnesses: Certain chronic illnesses may require specialty prescription drugs to manage symptoms, slow disease progression, or improve quality of life.
4. Patients who have failed traditional treatments: If standard medications or therapies have been ineffective, specialty prescription drugs may be recommended as an alternative or adjunctive treatment.
5. Patients with high-cost medications: Specialty drugs can be expensive, and some individuals with high-cost medications may require assistance from specialty pharmacies or insurance providers to afford the required medication.
6. Patients requiring specialized monitoring: Some medications have specific monitoring requirements, and specialty pharmacies provide expertise in monitoring and managing potential side effects or drug interactions.

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