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AND VISCERA PRIOR AUTHORIZATION REQUEST PRESCRIBER FAX FORM ONLY the prescriber may complete and fax this form. This form is for prospective, concurrent, and retrospective reviews. Incomplete forms

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How to fill out and vascepa

01

To fill out and vascepa, follow these steps:

02

Step 1: Check the dosage prescribed by your healthcare provider.

03

Step 2: Take the prescribed number of vascepa capsules.

04

Step 3: Swallow the capsules whole with a glass of water.

05

Step 4: You may take vascepa with or without food, as directed by your healthcare provider.

06

Step 5: Continue taking vascepa regularly as prescribed.

07

Step 6: If you have any questions or concerns, consult your healthcare provider.

Who needs and vascepa?

01

Vascepa is a prescription medication typically recommended for individuals with high triglyceride levels (hypertriglyceridemia).

02

It is used to reduce triglyceride levels in adults with severe hypertriglyceridemia as an adjunct to diet and exercise.

03

It is also approved for reducing the risk of cardiovascular events in adults with elevated triglyceride levels and other cardiovascular risk factors.

04

Your healthcare provider can determine if vascepa is appropriate for your specific condition and needs.

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What is and vascepa?

Vascepa is a prescription medication used to reduce high levels of triglycerides in the blood.

Who is required to file and vascepa?

Healthcare providers are required to prescribe and file Vascepa.

How to fill out and vascepa?

Vascepa is usually taken orally with or without food.

What is the purpose of and vascepa?

The purpose of Vascepa is to lower triglyceride levels in the blood.

What information must be reported on and vascepa?

Information such as dosage, frequency, and patient details must be reported on Vascepa prescriptions.

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