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Prescriber Criteria Formally Health Medicare Reliant 2019 PA Fax C13256A FHC v2 010119.docx Reliant, Reliant XR (tocacitinib) Coverage Determination This fax machine is located in a secure location
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To fill out Xeljanz and Xeljanz XR, follow these steps:
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Check the prescription label and read the medication guide provided by your pharmacist or healthcare professional.
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Take the prescribed dose of Xeljanz or Xeljanz XR as directed by your doctor. Make sure to understand the recommended dosage and frequency.
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Xeljanz tablets should be taken with food, while Xeljanz XR should be taken with or without food, as instructed by your doctor.
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Swallow the tablet(s) whole. Do not crush, chew, or break them.
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If you are taking Xeljanz XR, do not split, crush, or chew the extended-release tablets.
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If you have difficulty swallowing the tablet(s), talk to your doctor or pharmacist to discuss alternative methods of administration.
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It is important to take Xeljanz and Xeljanz XR regularly for the best results. Try to take it at the same time each day to establish a routine.
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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 resume your regular dosing schedule. Do not take a double dose to make up for a missed one.
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If you have any questions or concerns regarding the usage of Xeljanz or Xeljanz XR, consult your healthcare professional for further guidance.
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Note: This is a general guide and not a substitute for professional medical advice. Always follow your doctor's instructions and refer to the medication guide provided.

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Xeljanz and Xeljanz XR are prescription medications indicated for specific medical conditions. They are typically used for the following conditions:
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- Rheumatoid arthritis: Xeljanz and Xeljanz XR are approved for the treatment of moderate to severe rheumatoid arthritis in adults who have not responded well to or cannot tolerate methotrexate.
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- Psoriatic arthritis: Xeljanz and Xeljanz XR are approved for the treatment of active psoriatic arthritis in adults who have not responded well to or cannot tolerate certain other medications.
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- Ulcerative colitis: Xeljanz and Xeljanz XR are approved for the treatment of moderate to severe ulcerative colitis in adults who have not responded well to or cannot tolerate other medications.
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It is important to note that the use of Xeljanz and Xeljanz XR should be determined by a healthcare professional based on an individual's specific medical condition and history. Consult your doctor to determine if Xeljanz or Xeljanz XR is appropriate for you.
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Xeljanz (tofacitinib) and Xeljanz XR are medications used to treat certain autoimmune conditions like rheumatoid arthritis, psoriatic arthritis, and ulcerative colitis.
Patients prescribed Xeljanz or Xeljanz XR must file for insurance coverage or reimbursement, typically managed by their healthcare providers.
Xeljanz and Xeljanz XR should be taken as prescribed by a healthcare professional, typically with or without food, and the dosage should be followed according to the provided prescription.
The purpose of Xeljanz and Xeljanz XR is to suppress the immune system to reduce inflammation and prevent damage to joints in autoimmune diseases.
Patients must report any health changes, side effects, and existing conditions to their healthcare provider while using Xeljanz or Xeljanz XR.
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