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Delaware Medicaid and Medical Assistance Request for Prior Authorization Alternative Dosage Forms Submit request via: Fax 13024540224 or Website https://medicaid.dhss.delaware.govNiravam, XR Covered
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How to fill out alternative dosage forms

01
To fill out alternative dosage forms, follow these steps:
02
Identify the specific alternative dosage form you are working with, such as a transdermal patch or an oral disintegrating tablet.
03
Review the instructions and guidelines provided by the manufacturer or healthcare professional.
04
Gather all the necessary equipment and materials, including the alternative dosage form itself, any applicators or tools required, and any medications or substances to be administered.
05
Clean and sanitize your hands and the workspace to ensure hygiene and safety.
06
Carefully read the labels and packaging of the alternative dosage form, noting any specific instructions for administration, dosing, or handling.
07
If applicable, prepare the alternative dosage form according to the instructions, such as mixing a powdered medication with a liquid or activating a transdermal patch.
08
Use the appropriate technique to administer the alternative dosage form, following the recommended route of administration (e.g., oral, nasal, transdermal) and any specific guidelines provided.
09
Dispose of any waste materials or used applicators properly, adhering to guidelines for safe disposal of medication-related items.
10
Store any unused alternative dosage forms as instructed, taking note of temperature requirements, light exposure restrictions, and expiration dates.
11
Seek guidance from a healthcare professional or pharmacist if you have any questions or concerns during the process of filling out alternative dosage forms.

Who needs alternative dosage forms?

01
Alternative dosage forms may be beneficial for individuals who:
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- Have difficulty swallowing traditional oral medications
03
- Have allergies or sensitivities to certain ingredients commonly found in conventional medications
04
- Require a specific mode of drug delivery that cannot be achieved through traditional dosage forms
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- Need a more controlled or extended release of medication
06
- Have specific cultural or dietary preferences that require alternative dosage forms
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- Are unable to use certain routes of administration, such as intravenous or intramuscular injections
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- Have pediatric or geriatric patients who may have difficulty with conventional dosage forms
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- Are participating in clinical trials or research studies that involve alternative dosage forms
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Alternative dosage forms are different forms of medication that can be used instead of traditional tablets or capsules, such as liquids, patches, injections, or suppositories.
Pharmaceutical companies and manufacturers are required to file alternative dosage forms.
Alternative dosage forms can be filled out by providing information about the specific form of medication, dosage strength, route of administration, and any other relevant details.
The purpose of alternative dosage forms is to provide patients with options for taking medication that may be easier to use, more effective, or better suited to their individual needs.
The information reported on alternative dosage forms may include the name of the medication, dosage strength, route of administration, instructions for use, and any potential side effects.
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