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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191ANTIMIGRAINE AGENTS, OTHER CORP INHIBITORS PRIOR AUTHORIZATION FORM Antimigraine Agents, Other
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What is antimigraine agents othercgrp inhibitors?
Antimigraine agents other CGRP inhibitors are a class of medications used to prevent migraines by targeting the calcitonin gene-related peptide (CGRP).
Who is required to file antimigraine agents othercgrp inhibitors?
Healthcare providers or facilities prescribing or administering antimigraine agents other CGRP inhibitors are required to file this information.
How to fill out antimigraine agents othercgrp inhibitors?
To fill out antimigraine agents other CGRP inhibitors, healthcare providers need to provide details on the type of medication prescribed or administered, dosage, frequency, and patient information.
What is the purpose of antimigraine agents othercgrp inhibitors?
The purpose of antimigraine agents other CGRP inhibitors is to prevent migraines and provide relief to individuals experiencing chronic or severe migraines.
What information must be reported on antimigraine agents othercgrp inhibitors?
Information such as the name of the medication, dosage, frequency of use, patient demographics, and any adverse reactions or side effects must be reported on antimigraine agents other CGRP inhibitors.
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