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Affiliated with CVS Specialty®. 75-42400A 062917. Specialty Pharmacy Fertility Care Program Enrollment Form. Fax Referral To: 1-866-310-4139.
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How to fill out specialty pharmacy fertility care

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How to fill out specialty pharmacy fertility care

01
Step 1: Gather all necessary documents and information such as medical history, insurance information, and any prescription medications.
02
Step 2: Contact a specialty pharmacy that offers fertility care services. This can be done through a referral from your healthcare provider or through a web search.
03
Step 3: Schedule an initial consultation with the specialty pharmacy. During this consultation, you will be asked about your medical history, current medications, and any specific fertility needs or concerns.
04
Step 4: Fill out any required forms or paperwork provided by the specialty pharmacy. This may include patient information forms, insurance forms, and medication consent forms.
05
Step 5: Provide the specialty pharmacy with any necessary prescriptions from your healthcare provider. Make sure to clarify the dosage, refill requirements, and any specific instructions.
06
Step 6: Review the medication plan and fertility care instructions provided by the specialty pharmacy. This may include information on medication administration, potential side effects, and fertility monitoring.
07
Step 7: Follow the medication plan as prescribed by the healthcare provider and specialty pharmacy. Make sure to adhere to the recommended schedule and dosage instructions.
08
Step 8: Keep in regular communication with the specialty pharmacy to track progress, discuss any concerns or side effects, and coordinate future medication refills or appointments.
09
Step 9: Complete any necessary paperwork or documentation required for insurance claims or reimbursement.
10
Step 10: After completing the fertility care treatment, schedule a follow-up appointment with your healthcare provider to assess the outcome and discuss any further steps or recommendations.

Who needs specialty pharmacy fertility care?

01
Women and couples who are experiencing fertility issues and require specialized medications and services to help them conceive.
02
Individuals undergoing fertility treatments such as in vitro fertilization (IVF) or intrauterine insemination (IUI).
03
Patients with certain medical conditions or hormonal imbalances that affect fertility.
04
Individuals who have previously undergone unsuccessful fertility treatments and require advanced care.
05
Any person recommended by their healthcare provider to seek specialty pharmacy fertility care.
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Specialty pharmacy fertility care is a specialized service that provides medications and support for individuals undergoing fertility treatments.
Healthcare providers and pharmacies specializing in fertility treatments are required to file specialty pharmacy fertility care.
To fill out specialty pharmacy fertility care, providers must include detailed information about the prescribed medications and the patient's treatment plan.
The purpose of specialty pharmacy fertility care is to ensure that patients receive the necessary medications and support during their fertility treatments.
Information such as the patient's name, prescribed medications, dosage instructions, and treatment duration must be reported on specialty pharmacy fertility care forms.
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