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MARGRET PRIOR APPROVAL REQUEST Additional information is required to process your claim for prescription drugs. Please complete the cardholder portion, and have the prescribing physician complete the
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How to fill out glecaprevir and pibrentasvir

01
Take glecaprevir and pibrentasvir exactly as prescribed by your doctor.
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Read the medication guide provided by your pharmacist before you start taking this medication. Follow any instructions or precautions mentioned.
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Take glecaprevir and pibrentasvir with food to ensure proper absorption and effectiveness.
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Swallow the tablets whole with a full glass of water. Do not crush or chew the tablets.
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Do not skip any doses and take the medication at the same time every day to maintain a steady level of the drug in your body.
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It is important to complete the full course of treatment as directed by your doctor, even if you start feeling better.
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If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.
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Do not take a double dose to make up for a missed dose.
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Contact your doctor if you experience any unusual or severe side effects while taking glecaprevir and pibrentasvir.
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Store the medication in a cool, dry place away from direct sunlight and out of the reach of children.

Who needs glecaprevir and pibrentasvir?

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Glecaprevir and pibrentasvir are prescribed for individuals with chronic hepatitis C virus (HCV) infection.
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They are specifically used for the treatment of HCV genotype 1, 2, 3, 4, 5, or 6 infections in adults.
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This medication may be prescribed for patients who have not received any prior treatment for HCV or for those who have previously been treated but did not achieve a satisfactory response.
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It is important to consult with a healthcare professional to determine if glecaprevir and pibrentasvir are appropriate for your specific condition.
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