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HEALTH PARTNERS MEDICARE PRIOR AUTHORIZATION REQUEST FORMOrkambi Medicare Phone: 2159914300Fax back to: 8663713239Health Partners Plans manages the pharmacy drug benefit for your patient. Certain
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How to fill out orkambi - medicare

01
To fill out Orkambi - Medicare, follow these steps:
02
Begin by gathering all the necessary information and documents required to complete the application.
03
Visit the official Medicare website or contact your local Medicare office for the Orkambi application form.
04
Fill out the application form carefully, providing accurate and up-to-date information about the patient and their medical condition.
05
Make sure to include any relevant medical records or supporting documents along with the application.
06
Double-check the completed form for any errors or omissions before submitting it to Medicare.
07
Submit the application either online or by mail, as per the instructions provided.
08
Wait for Medicare to review the application and determine eligibility for Orkambi coverage.
09
If approved, Medicare will notify the applicant and provide details on how to proceed with receiving Orkambi.
10
Follow any additional instructions or requirements from Medicare to ensure continued coverage and access to Orkambi.
11
Keep records of all communication and documentation related to the Orkambi - Medicare application for future reference.

Who needs orkambi - medicare?

01
Orkambi - Medicare is typically prescribed for individuals who meet the following criteria:
02
The patient is diagnosed with cystic fibrosis (CF), specifically with a genetic mutation known as F508del.
03
The patient's age is 2 years or older, as Orkambi is approved for this age group.
04
The patient's lung function test (FEV1) is within a certain range, as determined by healthcare professionals.
05
The patient's CF condition is not adequately managed with other medications or treatment options.
06
The patient has Medicare coverage and meets the program's eligibility requirements.
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It is important to consult with a healthcare provider to determine if Orkambi - Medicare is appropriate for a specific individual.
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Orkambi is a medication used to treat cystic fibrosis in patients who have specific genetic mutations.
Patients who have been prescribed Orkambi by their healthcare provider are required to file for coverage through Medicare.
To fill out the Orkambi - Medicare coverage, patients can contact their healthcare provider or Medicare directly for assistance with the application process.
The purpose of Orkambi - Medicare is to provide coverage for eligible patients who require this medication to manage their cystic fibrosis.
Patients must report their personal information, prescription details, healthcare provider information, and any other requested details for the Orkambi - Medicare coverage.
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