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Prescribing Clinician or Authorized Representative Signature Created 10/11/2016 Reviewed/Revised 01/19/2017 Date 3/23/2017 12 07 PM. Sodium-Glucose Co-Transporter-2 Inhibitors dapagliflozin propanediol Xigduo XR dapagliflozin/ HCL Medication Request Form MRF FAX TO 888 807-6643 c/o MedImpact Healthcare Systems Inc. Attn Prior Authorization Department 10181 Scripps Gateway Court San Diego CA 92131 - Phone 1-800-788-2949 Instructions This form is to be used by participating providers to obtain...
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Step 1: Start by gathering all the necessary information and documentation, such as the prescription for sodium-glucose co-transporter-2 inhibitors.
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Step 2: Read the instructions and warnings provided with the medication carefully.
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Step 3: Wash your hands properly with soap and water before handling the medication.
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Step 4: Take the prescribed dose of sodium-glucose co-transporter-2 inhibitors as directed by your healthcare provider.
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Step 5: Swallow the medication with a glass of water, with or without food, depending on the instructions.
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Step 6: Follow any specific timing instructions provided, such as taking the medication at the same time each day.
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Step 7: Store the medication in a cool and dry place, away from direct sunlight and moisture.
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Step 8: Keep track of your medication intake and any related side effects. Report any concerns or issues to your healthcare provider.
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Step 9: Continue taking the medication as prescribed, until your healthcare provider advises otherwise.
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Step 10: Dispose of any unused medication properly, following the guidelines provided.

Who needs sodium-glucose co-transporter-2 inhibitors?

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Individuals diagnosed with type 2 diabetes may require sodium-glucose co-transporter-2 inhibitors as part of their treatment plan.
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Patients who struggle to maintain blood sugar levels and have not achieved desired results with other diabetes medications may benefit from these inhibitors.
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People who need assistance in lowering their HbA1c levels, controlling hyperglycemia, and managing their diabetes symptoms may be recommended sodium-glucose co-transporter-2 inhibitors.
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Those who have a higher risk of cardiovascular diseases and would benefit from additional cardioprotective effects of these inhibitors may be advised to use them.
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Patients who are comfortable with the potential side effects and understand the necessary precautions of using sodium-glucose co-transporter-2 inhibitors may consider these medications.
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It is essential to consult with a healthcare provider to determine who specifically needs sodium-glucose co-transporter-2 inhibitors, as individual medical history and condition play a significant role.
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Sodium-glucose co-transporter-2 inhibitors are a class of medications used to treat diabetes by blocking the reabsorption of glucose in the kidneys.
Doctors, pharmacists, and healthcare providers are required to file information about the use of sodium-glucose co-transporter-2 inhibitors.
Information about the dosage, frequency, and duration of sodium-glucose co-transporter-2 inhibitors should be accurately filled out on the reporting form.
The purpose of sodium-glucose co-transporter-2 inhibitors is to help lower blood sugar levels in patients with diabetes.
Information such as patient demographics, medication dosage, side effects, and treatment outcomes must be reported on sodium-glucose co-transporter-2 inhibitors.
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