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CONTAINS CONFIDENTIAL PATIENT INFORMATION HC otic hydrocortisone- Complete form in its entirety and fax to Prior Authorization of Benefits PAB Center at 866-807-6241 1. Gov. WEBPBSC-0411-17 March 2017 SC Medicaid HC otic PAB Fax Form 02. 01. 17. docx 9. PHYSICIAN SIGNATURE Prescriber or authorized signature Date treating physician can determine what medications are appropriate for a patient. Other PAGE 1 OF 2 CONTINUED ON PAGE 2 www. BlueChoiceSCMedicaid.com BlueChoice HealthPlan is an...
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How to fill out hc otic hydrocortisone
01
First, wash your hands thoroughly with soap and water.
02
Gently shake the hc otic hydrocortisone solution before use.
03
Tilt your head to the side and gently pull your earlobe upward to straighten the ear canal.
04
Carefully insert the dropper into your ear canal, being cautious not to insert it too deeply.
05
Squeeze the dropper to release the prescribed number of drops into your ear.
06
Keep your head tilted for a few minutes to allow the medication to reach the ear canal.
07
Repeat the process for the other ear, if necessary.
08
Wipe off any excess solution around the ear with a clean tissue or cotton ball.
09
Wash your hands again after application.
Who needs hc otic hydrocortisone?
01
Individuals suffering from ear inflammation, itching, or infections may need hc otic hydrocortisone.
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People diagnosed with conditions like swimmer's ear or external otitis are also likely to benefit from this medication.
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It is important to consult with a healthcare professional for a proper diagnosis and recommendation before using hc otic hydrocortisone.
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What is hc otic hydrocortisone?
Hc otic hydrocortisone is a medication that contains hydrocortisone and is used to treat ear infections.
Who is required to file hc otic hydrocortisone?
Medical professionals or pharmacies may be required to file hc otic hydrocortisone prescriptions.
How to fill out hc otic hydrocortisone?
Hc otic hydrocortisone is typically filled out by a healthcare provider and includes the patient's information, dosage instructions, and prescribing physician's signature.
What is the purpose of hc otic hydrocortisone?
The purpose of hc otic hydrocortisone is to reduce inflammation and treat ear infections.
What information must be reported on hc otic hydrocortisone?
Information such as patient name, prescription details, and prescribing physician's information must be reported on hc otic hydrocortisone forms.
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