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MEDICATION Aubagio teriflunomide dimethyl fumarate 4. STRENGTH 5. DIRECTIONS 6. If a preferred injectable agent is not found in the member s pharmacy claims documentation of the following must be provided Patient has a recent within past six months occurrence of myocardial infarction unstable angina stroke transient ischemic attack decompensated heart failure requiring hospitalization or Class lll/lV heart failure Yes No PAGE 1 OF 2 CONTINUED ON PAGE 2 WEBPIA-0157-17 IA Medicaid Multiple...
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How to fill out multiple sclerosis agents-oral

01
Read the medication guide provided by your pharmacist before you start taking the oral agents for multiple sclerosis.
02
Take the medication exactly as prescribed by your healthcare provider.
03
Follow the prescribed dosage instructions and do not take more or less than what is recommended.
04
Swallow the oral agents with a full glass of water.
05
Take the medication with or without food as directed.
06
If you have trouble swallowing the tablets, talk to your doctor about possible alternatives.
07
Do not crush, chew, or break the tablets unless instructed to do so.
08
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.
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Store the oral agents at room temperature, away from moisture and heat.
10
Keep track of your medication usage and refill your prescription in a timely manner.

Who needs multiple sclerosis agents-oral?

01
Individuals diagnosed with multiple sclerosis may require oral agents to help manage their symptoms and slow down the progression of the disease.
02
Patients with relapsing forms of multiple sclerosis, who experience flare-ups followed by periods of remission, are often prescribed oral agents to reduce the frequency and severity of relapses.
03
People who are unable to tolerate or have contraindications to other forms of multiple sclerosis treatment, such as injections or infusions, may be suitable candidates for oral agents.
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Your healthcare provider will assess your specific condition and medical history to determine if oral agents for multiple sclerosis are appropriate for you.
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Multiple sclerosis agents-oral are medications taken orally to treat multiple sclerosis, a chronic disease of the central nervous system.
Healthcare providers or pharmacies prescribing or dispensing multiple sclerosis agents-oral are required to file the necessary documentation.
To fill out multiple sclerosis agents-oral, healthcare providers or pharmacies need to provide information about the patient, prescribed medication, dosage, and duration of treatment.
The purpose of multiple sclerosis agents-oral is to manage symptoms, slow down the progression of the disease, and improve the quality of life for patients with multiple sclerosis.
Information such as patient demographics, medication details, prescribing healthcare provider, and dispensing pharmacy must be reported on multiple sclerosis agents-oral.
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