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Factor VIII Agents Prior Authorization Request Send completed form to: Case Review Unit CVS Earmark Specialty Programs Fax: 18553301720 CVS Earmark administers the prescription benefit plan for the
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How to fill out factor viii agents

01
To fill out factor VIII agents, follow these steps:
02
Gather all the necessary materials and supplies, including the factor VIII agent, syringes, and needles.
03
Wash your hands thoroughly with soap and water, and dry them off.
04
Choose a clean and well-lit area to work in.
05
Check the expiration date and condition of the factor VIII agent. Ensure it is not expired or damaged.
06
Clean the rubber stopper of the factor VIII agent vial with an alcohol swab.
07
Use a syringe to withdraw the prescribed amount of factor VIII agent from the vial. Follow your healthcare provider's instructions for the correct dosage.
08
Remove any air bubbles from the syringe by gently tapping it and pushing the plunger until all air is expelled.
09
Choose an appropriate injection site, usually on the upper arm, thigh, or abdomen.
10
Clean the injection site with an alcohol swab and let it dry.
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Hold the syringe like a pencil and insert the needle into the chosen injection site at a 90-degree angle.
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Slowly push the plunger to inject the factor VIII agent into the body.
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Once the injection is complete, remove the needle and apply pressure to the injection site with a clean cotton ball or swab.
14
Dispose of the used syringe, needle, and any remaining factor VIII agent following proper medical waste disposal guidelines.
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Wash your hands again thoroughly after completing the procedure.

Who needs factor viii agents?

01
Factor VIII agents are primarily used by individuals with hemophilia, a genetic disorder that impairs the body's ability to form blood clots.
02
People with hemophilia lack sufficient levels of clotting factor VIII, which is responsible for normal blood clotting.
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Therefore, individuals with hemophilia require factor VIII agents to replace the missing or deficient clotting factor and prevent excessive bleeding.
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Factor VIII agents are also used in certain surgical procedures, injuries, or medical conditions that may cause severe bleeding or clotting disorders.
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It is important to consult with a healthcare provider to determine who specifically needs factor VIII agents based on their medical condition and treatment plan.
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Factor VIII agents are medications used to treat hemophilia A by replacing the missing clotting factor VIII in the blood.
Medical professionals, hospitals, and treatment centers who prescribe or administer factor VIII agents are required to file reports.
To fill out factor VIII agent reports, healthcare providers must include information such as patient demographics, dosage administered, and any adverse reactions.
The purpose of factor VIII agents is to help manage and prevent bleeding episodes in individuals with hemophilia A.
Information such as patient details, treatment dates, dosage administered, and any adverse events must be reported on factor VIII agents.
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