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, Lines, Romantic, and Trance Arizona PRIOR AUTHORIZATION REQUEST FORM Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form contains
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To fill out Linzess, Movantik, and Trulance prescription:
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Make sure you have a valid prescription from a healthcare provider.
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Take the prescription to a pharmacy that carries Linzess, Movantik, or Trulance.
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Linzess, Movantik, and Trulance are prescription medications used for different conditions:
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- Linzess is used for the treatment of irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) in adults.
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- Movantik is used to treat opioid-induced constipation (OIC) in adults with chronic non-cancer pain.
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- Trulance is also used for the treatment of chronic idiopathic constipation (CIC) in adults.
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Only individuals who have been diagnosed with the specific conditions mentioned above and have received a prescription from a healthcare provider should use Linzess, Movantik, or Trulance.
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Linzess, Movantik, and Trulance are prescription medications used to treat certain gastrointestinal conditions such as irritable bowel syndrome and chronic constipation.
Healthcare providers such as doctors and pharmacists are required to file prescriptions for Linzess, Movantik, and Trulance for their patients.
Healthcare providers should follow the instructions provided on the prescription label and consult with their patients regarding the proper use of Linzess, Movantik, and Trulance.
The purpose of Linzess, Movantik, and Trulance is to help relieve symptoms associated with gastrointestinal conditions such as irritable bowel syndrome and chronic constipation.
Healthcare providers must report details such as the patient's name, dosage instructions, and any relevant medical history when prescribing Linzess, Movantik, and Trulance.
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