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Prescriber Fax Form Marigold (diclofenac sodium gel, 3%)(Coverage Determination) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign
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How to fill out diclofenac sodium gel 3

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How to fill out diclofenac sodium gel 3

01
Wash your hands before applying the gel.
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Squeeze a small amount of gel onto your finger.
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Apply the gel evenly to the affected area.
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Gently massage the gel into the skin.
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Do not cover the treated area with bandages or dressings unless directed by your doctor.
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Wash your hands after applying the gel (unless your hands are the treated area).

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Diclofenac sodium gel 3 is typically used by individuals suffering from joint pain, arthritis, or other conditions causing inflammation of the joints.
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It is prescribed by doctors to patients who are in need of topically applied pain relief and anti-inflammatory medication.

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Diclofenac sodium gel 3 is a topical medication used to reduce inflammation and pain in joints.
Healthcare providers or pharmacists may be required to file diclofenac sodium gel 3 prescriptions or usage information.
Diclofenac sodium gel 3 can be filled out by recording the patient's information, dosage instructions, and any special precautions.
The purpose of diclofenac sodium gel 3 is to provide relief from pain and inflammation in specific areas of the body.
The information that must be reported on diclofenac sodium gel 3 includes the patient's name, dosage prescribed, frequency of use, and any adverse reactions.
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