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PA CriteriaInitial Approval: January 11, 2017, CRITERIA FOR PRIOR AUTHORIZATION Legend (omeprazole/sodium bicarbonate) Step Therapy PROVIDER GROUPPharmacyMANUAL Guidelines following drug requires
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How to fill out omeprazolesodium bicarbonate
How to fill out omeprazolesodium bicarbonate
01
Start by washing your hands thoroughly with soap and water.
02
Take out the omeprazole sodium bicarbonate packet from its packaging.
03
Open the packet carefully and empty the contents into a glass or cup.
04
Add about 30 mL of water into the glass or cup.
05
Stir the mixture well until the powder is completely dissolved.
06
Drink the solution immediately after mixing.
07
If there is any residue left in the glass or cup, add a small amount of water and consume it as well.
08
It is recommended to take omeprazole sodium bicarbonate before a meal, preferably in the morning, unless otherwise directed by your doctor.
09
Do not crush or chew the granules, as they are designed to be swallowed whole.
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Follow your doctor's instructions and the dosage information provided with the medication.
Who needs omeprazolesodium bicarbonate?
01
Omeprazole sodium bicarbonate is typically prescribed to individuals who suffer from acid reflux, gastroesophageal reflux disease (GERD), and other conditions related to excessive stomach acid production.
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It may also be prescribed to patients who need to prevent ulcers caused by Helicobacter pylori infection or to prevent damage to the esophagus caused by stomach acid.
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Only a healthcare professional can determine if omeprazole sodium bicarbonate is appropriate for an individual's specific medical condition.
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What is omeprazolesodium bicarbonate?
Omeprazolesodium bicarbonate is a medication that is used to treat conditions such as gastroesophageal reflux disease (GERD) and ulcers.
Who is required to file omeprazolesodium bicarbonate?
Healthcare providers are the ones required to prescribe omeprazolesodium bicarbonate.
How to fill out omeprazolesodium bicarbonate?
Omeprazolesodium bicarbonate is typically taken orally in the form of a tablet.
What is the purpose of omeprazolesodium bicarbonate?
The purpose of omeprazolesodium bicarbonate is to reduce the production of stomach acid and relieve symptoms associated with acid-related conditions.
What information must be reported on omeprazolesodium bicarbonate?
Information such as dosage instructions, potential side effects, and any other relevant medical history should be reported on omeprazolesodium bicarbonate.
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