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Prior Authorization Criteria Form This form applies to Paramount Advantage membersDiclofenac Topical Agents (Paramount) Complete/review information, sign and date. Please fax signed forms to Paramount
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How to fill out diclofenac topical agents

01
First, wash your hands thoroughly with soap and water before applying diclofenac topical agents.
02
Gently dry the area to be treated.
03
Apply a thin layer of diclofenac gel or cream onto the affected area.
04
Gently rub the medication into the skin until it is completely absorbed.
05
Wash your hands again after applying the medication, unless you are treating your hands.
06
Avoid applying diclofenac gel or cream to open wounds, cuts, or irritated skin.
07
Do not cover the treated area with bandages or dressings, unless directed by your doctor.
08
Use diclofenac topical agents as directed by your healthcare professional.
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Do not use more than the recommended dosage or apply more frequently than prescribed.
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If you experience any unusual or severe side effects, contact your doctor immediately.

Who needs diclofenac topical agents?

01
Diclofenac topical agents are often used by individuals who have pain or inflammation in their joints, muscles, or soft tissues.
02
It is commonly prescribed for those with conditions such as arthritis, tendinitis, bursitis, or sprains.
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People who have localized pain or swelling may also benefit from using diclofenac gel or cream topically.
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However, it is important to consult with a healthcare professional to determine if diclofenac topical agents are suitable for your specific condition and to ensure safe and proper use.
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Diclofenac topical agents are medications that are applied to the skin to help reduce pain and inflammation.
Healthcare professionals or facilities who prescribe or administer diclofenac topical agents may be required to file reports.
Diclofenac topical agents can be filled out by providing detailed information about the patient, prescriber, medication dosage, and any adverse reactions.
The purpose of diclofenac topical agents is to provide localized relief for pain and inflammation in the joints or muscles.
Information such as patient details, prescriber information, medication dosage, administration instructions, and any adverse reactions must be reported on diclofenac topical agents.
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