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Medication Prior Authorization Form (Alfa2A) (Alfa2B) Policy Number:1046Policy History Approve Date:12/11/2015Revise Dates:Next Review:12/11/2016Review Dates:Preauthorization All PlansBenefit plans
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How to fill out intron-a alfa-2b
01
Gather all the necessary supplies and medications needed to administer Intron-A alfa-2b. These may include the Intron-A vial, sterile alcohol swabs, syringe, and needle.
02
Wash your hands thoroughly with soap and water before starting the process.
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Clean the rubber stopper on the Intron-A vial with an alcohol swab.
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Inject air into the vial equal to the dose to be administered. This will help with the withdrawal of the medication.
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Pinch the skin at the injection site to create a space for the needle to enter.
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Insert the needle into the pinched area at a 45-degree angle.
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Slowly push the plunger of the syringe to inject the medication.
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Once the medication is injected, carefully remove the needle from the skin.
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Dispose of the used needle and syringe safely according to proper medical waste disposal guidelines.
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Wash your hands again with soap and water after completing the injection.
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