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STEP THERAPY REQUEST Gout Prophylaxis Please Fax Form to: 18442562025 Physician/Providers Toll-free Inquiry: 18008912520, Option 2 MEMBER NAME: Date of Request: Paramount Member ID Number: DOB: PRESCRIBER
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What is gout prophylaxis?
Gout prophylaxis refers to measures taken to prevent gout attacks.
Who is required to file gout prophylaxis?
Gout prophylaxis is typically recommended by healthcare providers for individuals who have a history of gout attacks.
How to fill out gout prophylaxis?
Gout prophylaxis can be filled out by following the recommendations and prescriptions provided by a healthcare provider.
What is the purpose of gout prophylaxis?
The purpose of gout prophylaxis is to reduce the frequency and severity of gout attacks.
What information must be reported on gout prophylaxis?
Information on medications, lifestyle changes, and dietary modifications may need to be reported on gout prophylaxis.
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