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Print FormMINNESOTA UNIFORM FORM FOR PRESCRIPTION DRUG PRIOR AUTHORIZATION (PA) REQUESTS AND FORMULARY EXCEPTIONS Page 1 of 3INSTRUCTIONS Important: Please read all instructions and information before
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Start by gathering all necessary information such as the patient's medical history, current medications, and any allergies.
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Evaluate the patient's needs and determine the appropriate pharmacy care services that should be provided.
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Develop a personalized care plan for the patient, taking into consideration their unique health conditions and goals.
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Explain the care plan to the patient, ensuring they understand the importance of following it and any instructions or recommendations provided.
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Monitor the patient's progress and adjust the care plan as needed, based on their response to treatments or medications.
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Coordinate with other healthcare professionals involved in the patient's care, such as doctors or specialists, to ensure a comprehensive approach to their healthcare.
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Evolving pharmacy care can also be valuable for individuals transitioning from hospital to home or experiencing changes in their healthcare needs.
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Evolving pharmacy care refers to the advancement and improvement of the services provided by pharmacies to meet the changing healthcare needs of patients.
Pharmacists and pharmacy staff are required to file evolving pharmacy care.
Evolving pharmacy care can be filled out by providing detailed information on the changes and improvements made to pharmacy services.
The purpose of evolving pharmacy care is to ensure that pharmacies are constantly improving their services to better serve patients and meet their healthcare needs.
Information such as changes in medication management protocols, patient education programs, and collaborations with healthcare providers must be reported on evolving pharmacy care.
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