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Washington Prior Authorization Request Form Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form may contain multiple pages. Please
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How to fill out changes to long-acting opioid

01
To fill out changes to long-acting opioid, follow these steps:
02
Review the patient's medical history and current medication regimen.
03
Assess the need for changes to the long-acting opioid based on the patient's response to the current medication.
04
Consult with the healthcare provider to determine the appropriate changes to be made.
05
Gradually taper the dose of the current long-acting opioid while monitoring the patient for any adverse effects.
06
Titrate the new long-acting opioid dose based on the patient's response and pain control requirements.
07
Educate the patient on the proper use and potential side effects of the new medication.
08
Monitor the patient closely for any signs of opioid misuse or dependence.
09
Adjust the dose or switch to alternative medications if necessary based on the patient's response and overall treatment goals.
10
Document all changes made to the long-acting opioid in the patient's medical records.
11
Follow up with the patient regularly to assess the effectiveness of the changes and make further adjustments as needed.

Who needs changes to long-acting opioid?

01
Changes to long-acting opioid may be needed for individuals who:
02
- Experience inadequate pain control with the current medication.
03
- Develop intolerable side effects from the current long-acting opioid.
04
- Require a change in the medication regimen due to a change in their medical condition.
05
- Exhibit signs of opioid tolerance or dependence.
06
- Have a history of substance abuse or addiction.
07
- Need to switch to a different long-acting opioid to achieve better pain management.
08
- Have been prescribed an inappropriate dosage of the current long-acting opioid.
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