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Gov. WEBPBSC-0456-17 February 2017 SC Medicaid Soliqua Pen PAB Fax Form 02. 01. 17. doc PATIENT NAME PATIENT ID 9. 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 Soliqua Pen glargine/lixisenatide Complete form in its...
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What is soliqua pen?
Soliqua pen is a combination medication used to treat type 2 diabetes in adults.
Who is required to file soliqua pen?
Patients prescribed with soliqua pen are required to use it as directed by their healthcare provider.
How to fill out soliqua pen?
Soliqua pen comes with instructions for use provided by the manufacturer. It is important to follow these instructions carefully.
What is the purpose of soliqua pen?
The purpose of soliqua pen is to help manage blood sugar levels in patients with type 2 diabetes.
What information must be reported on soliqua pen?
Information such as dosage, administration schedule, and any side effects experienced should be reported on soliqua pen.
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