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CALGARY ZONE Long Term Care FormularyFPP10SECTIONSUBJECTPAGEFORMULARY POLICIES &
PROCEDURESCompounded Medication Coverage1 of 2
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12
08 23Original
Purpose identify the coverage criteria for compounded
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01
To fill out a long term care formulary, follow these steps:
02
Obtain the long term care formulary from the appropriate source.
03
Read the instructions and guidelines provided with the formulary carefully.
04
Fill in your personal information, including your name, address, and contact details.
05
Provide your medical history, current medications, and any allergies or special conditions.
06
Answer the questions regarding your long term care needs, including the level of assistance required and any specific medical treatments.
07
Attach any supporting documents, such as medical reports or prescriptions, as requested.
08
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09
Sign and date the formulary.
10
Submit the filled-out formulary to the designated authority or organization as instructed.
11
Keep a copy of the completed formulary for your records.
Who needs long term care formulary?
01
Long term care formulary is needed by individuals who require or anticipate the need for long term care services.
02
This includes elderly individuals or those with chronic illnesses or disabilities.
03
Family members or legal guardians of individuals who are unable to complete the formulary themselves may also need to fill it out on their behalf.
04
It is important to consult with a healthcare professional or the relevant authority to determine if the long term care formulary is required in a specific situation.
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What is long term care formulary?
Long term care formulary is a list of medications that are approved for use in long term care facilities.
Who is required to file long term care formulary?
Long term care facilities are required to file long term care formulary.
How to fill out long term care formulary?
Long term care formulary can be filled out by listing the approved medications and their corresponding information.
What is the purpose of long term care formulary?
The purpose of long term care formulary is to ensure that residents in long term care facilities receive appropriate and safe medication treatments.
What information must be reported on long term care formulary?
The information reported on long term care formulary includes medication name, dosage, administration instructions, and restrictions.
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