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12/28/2012 Prior Authorization Formosa QUEST (MEDICAID) Products (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and

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How to fill out retin-a

01

Step 1: Start with clean skin. Use a gentle cleanser to wash your face and pat it dry.

02

Step 2: Apply a pea-sized amount of Retin-A to your fingertips.

03

Step 3: Gently massage the medication onto the affected areas of your skin.

04

Step 4: Avoid applying Retin-A to broken or irritated skin.

05

Step 5: Allow the medication to absorb into your skin and avoid washing it off.

06

Step 6: It is recommended to use Retin-A at night, as sunlight can make the medication less effective.

07

Step 7: Use Retin-A as directed by your healthcare professional or follow the instructions on the product label.

08

Step 8: Be patient and consistent with the use of Retin-A, as it may take several weeks to see noticeable results.

Who needs retin-a?

01

Retin-A is commonly prescribed to individuals who have acne vulgaris, a skin condition characterized by pimples, blackheads, and whiteheads.

02

It is also used to treat sun-damaged skin, fine wrinkles, and to improve skin texture and tone.

03

Your healthcare professional can determine if Retin-A is suitable for you based on your specific skin concerns and medical history.

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What is retin-a?

Retin-A is a topical medication that contains tretinoin, a form of vitamin A.

Who is required to file retin-a?

Patients prescribed Retin-A are required to file it with their doctor or pharmacist.

How to fill out retin-a?

Retin-A should be applied to clean, dry skin in a thin layer.

What is the purpose of retin-a?

Retin-A is used to treat acne, fine lines, and wrinkles by promoting skin cell turnover.

What information must be reported on retin-a?

The date and time of application, any side effects experienced, and any other medications being used concurrently must be reported on Retin-A.

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