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PRIOR AUTHORIZATION CRITERIA
DRUG CLASSMULTIPLE SCLEROSIS AGENTSBRAND NAME
(Generic)Avon ex (interferon beta1a)
Adagio (trifluoride)
Betaken (interferon beta1b)
Copaxone 40 mg (Latimer acetate)
Octavia
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Step 1: Wash your hands thoroughly with soap and water.
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Step 2: Check the expiry date on the Copaxone 40mg Glatiramer Acetate package. Do not use if expired.
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Step 8: Remove the needle from the skin and apply gentle pressure with a sterile cotton ball or gauze.
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Step 9: Dispose of the used syringe in a puncture-resistant container.
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Step 10: Wash your hands again after the injection.
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