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Prescriber Fax Form Fallon Health Weinberg DSP Intron A (alfa2b) (Coverage Determination) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information,
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How to fill out intron a alfa-2b
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01
Wash your hands thoroughly with soap and water.
02
Prepare the injection site by cleaning it with an alcohol swab.
03
Take the prefilled syringe out of the refrigerator and let it sit at room temperature for about 30 minutes.
04
Check the medication for any particles or discoloration. If you see any, do not use it.
05
Remove the cap from the syringe and hold it with the needle pointing upwards.
06
Tap the syringe gently to remove any air bubbles.
07
Pinch a fold of skin at the injection site and insert the needle at a 45-degree angle.
08
Slowly push the plunger down to inject the medication.
09
Remove the needle from the skin and apply gentle pressure to the injection site with a cotton ball.
10
Dispose of the syringe in a sharps container.
Who needs intron a alfa-2b?
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Intron A alfa-2b is typically prescribed for individuals with certain types of cancer, such as melanoma, hairy cell leukemia, or chronic hepatitis C.
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Your healthcare provider will determine if Intron A alfa-2b is suitable and necessary for your specific condition.
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