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Gov. WEBPBSC-0251-17 January 2017 SC Medicaid Adzenys XR-ODT PAB Fax Form 01. 22. 17. docx PATIENT NAME PATIENT ID 9. PAGE 1 OF 2 CONTINUED ON PAGE 2 www. BlueChoiceSCMedicaid.com BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. BlueChoice HealthPlan has contracted with Amerigroup Partnership Plan LLC an independent company for services to support administration of Healthy Connections. CONTAINS CONFIDENTIAL PATIENT INFORMATION Adzenys XR-ODT...
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How to fill out adzenys xr-odt amphetamine

01
First, remove the Adzenys XR-ODT amphetamine tablet from the blister pack.
02
Place the tablet on your tongue and allow it to dissolve without chewing or swallowing.
03
You may drink water after the tablet has dissolved.
04
The dose can be taken with or without food.
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If you are unsure about the correct dosage, consult your healthcare provider.
06
It is important to follow the instructions provided by your healthcare professional or pharmacist.

Who needs adzenys xr-odt amphetamine?

01
Adzenys XR-ODT amphetamine is prescribed for individuals diagnosed with Attention Deficit Hyperactivity Disorder (ADHD).
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It is usually prescribed for children aged 6 years and older, as well as adolescents and adults.
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The medication is used to help improve attention span, decrease impulsiveness, and control behavior problems.
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It should only be prescribed by a healthcare professional familiar with ADHD and its treatment.
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Adzenys XR-ODT is a medication that contains the active ingredient amphetamine and is used to treat attention deficit hyperactivity disorder (ADHD).
Healthcare providers and pharmacies are required to file adzenys xr-odt amphetamine when prescribing or dispensing the medication.
Adzenys XR-ODT should be filled out with the patient's name, dosage instructions, and any other relevant information as prescribed by the healthcare provider.
The purpose of adzenys xr-odt amphetamine is to help manage the symptoms of ADHD, such as hyperactivity, impulsivity, and inattention.
Information such as the patient's name, dosage, frequency of use, and any potential side effects must be reported on adzenys xr-odt amphetamine.
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