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CONTAINS CONFIDENTIAL PATIENT INFORMATIONNonPreferred Minocycline Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits Center at (800)
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How to fill out non-preferred minocyclines

01
Start by reading the instructions on the medication bottle or packet.
02
Wash your hands with soap and water before handling the medication.
03
Open the medication bottle or packet and take out the prescribed dose of non-preferred minocyclines.
04
Swallow the medication with a full glass of water, unless otherwise instructed by your doctor.
05
If the medication causes stomach upset, you may take it with food or milk.
06
Take the medication at the same time every day to ensure consistent levels in your body.
07
Follow the dosage instructions provided by your doctor carefully. Do not take more or less than the prescribed amount.
08
If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.
09
Store the medication in a cool, dry place away from direct sunlight and out of the reach of children.
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If you experience any unusual or severe side effects, contact your doctor immediately.

Who needs non-preferred minocyclines?

01
Non-preferred minocyclines are typically prescribed for individuals who have certain bacterial infections.
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They may be used to treat acne, urinary tract infections, respiratory tract infections, sexually transmitted diseases, or other infections caused by susceptible bacteria.
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Your doctor will determine if non-preferred minocyclines are appropriate for your condition based on various factors such as the type and severity of the infection, your medical history, and any allergies or contraindications you may have.
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Non-preferred minocyclines are a type of medication that is not the recommended first-line treatment according to the prescribing guidelines.
Healthcare providers or pharmacists may be required to file non-preferred minocyclines when prescribing or dispensing the medication.
Non-preferred minocyclines can be filled out by providing the necessary information on the prescription or dispensing form as requested by the insurance company or pharmacy benefit manager.
The purpose of non-preferred minocyclines is to help manage costs and encourage the use of more cost-effective medications as first-line treatments.
Information such as patient demographics, prescriber information, medication details, and any prior authorization requirements may need to be reported on non-preferred minocyclines.
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