Get the free UR HAE Cinryze self admin FLRx form FINAL 082713.doc

CinryzeFirazyr For self administrationDrug Prior Authorization FAX FormHAEPlease allow 3 business days for review of this request Please complete and fax to one of the following specialty pharmacies:

How to fill out ur hae cinryze self

How to fill out ur hae cinryze self

1. Wash your hands thoroughly before starting.
2. Open the package containing the HAE Cinryze self-administration kit.
3. Take out the vial and check the expiry date and clarity of the solution. Do not use if expired or if the solution appears cloudy or discolored.
4. Clean the rubber stopper of the vial with an alcohol wipe.
5. Attach the filter needle to the syringe and draw air into it.
6. Inject the air into the vial by piercing the rubber stopper and keep the vial upside down.
7. Slowly withdraw the desired dose of HAE Cinryze into the syringe.
8. Detach the filter needle and attach the injection needle to the syringe.
9. Clean the injection site with an alcohol wipe and let it dry.
10. Pinch the skin around the injection site to create a fold.
11. Insert the needle into the skin fold at a 90-degree angle.
12. Slowly push the plunger to inject the medication.
13. Once injected, remove the needle from the skin and apply gentle pressure with a sterile cotton ball or swab.
14. Dispose of the used syringe, needles, and any remaining medication appropriately.
15. Wash your hands again after administering the HAE Cinryze.

Who needs ur hae cinryze self?

1. HAE Cinryze is typically used by individuals diagnosed with hereditary angioedema (HAE).
2. HAE is a rare genetic disorder characterized by recurring episodes of swelling in various parts of the body, such as the face, abdomen, limbs, and airways.
3. People with HAE may need to use HAE Cinryze self-administration to manage acute attacks or as a prophylactic measure to prevent future attacks.
4. It is important for individuals with HAE to consult their healthcare provider for proper diagnosis and guidance on using HAE Cinryze.

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What is ur hae cinryze self?

Ur hae cinryze self is a form used to report financial information to the government.

Who is required to file ur hae cinryze self?

Individuals and entities with financial activities are required to file ur hae cinryze self.

How to fill out ur hae cinryze self?

You can fill out ur hae cinryze self online or through a paper form provided by the government.

What is the purpose of ur hae cinryze self?

The purpose of ur hae cinryze self is to ensure transparency and compliance with financial regulations.

What information must be reported on ur hae cinryze self?

Information such as income, expenses, assets, and liabilities must be reported on ur hae cinryze self.