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Prior Authorization Criteria Form05/29/2013 Fallon Community Health Plan CHP FALLON COMMUNITY HEALTH PLAN (CHP) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review
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Wash your hands thoroughly with soap and water before handling the ophthalmic emulsion.
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Shake the bottle well before using to ensure proper mixing of the ingredients.
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Tilt your head back and pull down your lower eyelid to create a small pocket.
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Squeeze the prescribed number of drops into the pocket created by your lower eyelid.
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Close your eyes gently and keep them closed for a few minutes to allow the medication to spread evenly on the surface of your eye.
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If you are using any other eye medication, wait for at least five minutes before applying them.
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Recap the bottle tightly after each use and store it at room temperature away from direct sunlight.

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Only a healthcare professional can determine if you specifically need ophthalmic emulsion 0 based on your condition and medical history.
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Ophthalmic emulsion 0 refers to a specific formulation used for ocular delivery, typically containing active ingredients suspended in an oily phase to enhance stability and bioavailability.
Manufacturers and distributors of ophthalmic emulsion products are required to file ophthalmic emulsion 0 with the appropriate regulatory authorities.
To fill out ophthalmic emulsion 0, one must provide detailed information about the product's composition, labeling, manufacturing processes, and comply with any specific regulatory forms required by health authorities.
The purpose of ophthalmic emulsion 0 is to deliver therapeutic agents directly to the eye, improving the efficacy of treatment for various eye conditions.
Information that must be reported includes ingredient details, manufacturing specifications, stability data, labeling information, and clinical efficacy and safety data.
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