Get the free XELJANZ (preferred) / XELJANZ XR (non-preferred) (tofacitinib) PRIOR AUTHORIZATION FORM

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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191XELJANZ (preferred) / RELIANT XR (nonpreferred) (tofacitinib) PRIOR AUTHORIZATION FORM Cytokine

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How to fill out xeljanz preferred xeljanz xr

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To fill out Xeljanz Preferred or Xeljanz XR, follow these steps:

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- Wash your hands thoroughly before handling the medication.

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- Check the expiration date and ensure the medication is not expired.

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- Open the pill bottle carefully.

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- Take the prescribed dose as instructed by your healthcare provider.

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Who needs xeljanz preferred xeljanz xr?

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Xeljanz Preferred or Xeljanz XR is often prescribed for individuals with moderate to severe rheumatoid arthritis (RA) who have not responded well to other treatments or cannot tolerate other medications. It may also be prescribed for individuals with psoriatic arthritis or ankylosing spondylitis.

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What is xeljanz preferred xeljanz xr?

Xeljanz preferred Xeljanz XR is a medication used to treat certain autoimmune diseases like rheumatoid arthritis.

Who is required to file xeljanz preferred xeljanz xr?

Patients prescribed Xeljanz preferred Xeljanz XR are required to file it with their healthcare provider or pharmacy.

How to fill out xeljanz preferred xeljanz xr?

Xeljanz preferred Xeljanz XR is usually filled out by the healthcare provider or pharmacist based on the prescription details.

What is the purpose of xeljanz preferred xeljanz xr?

The purpose of filing Xeljanz preferred Xeljanz XR is to ensure proper tracking and monitoring of the medication usage for the treatment of autoimmune diseases.

What information must be reported on xeljanz preferred xeljanz xr?

Information such as the patient's name, dosage instructions, prescription date, and healthcare provider details must be reported on Xeljanz preferred Xeljanz XR.

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