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Fax completed prior authorization request form to 8773098077 or submit Electronic Prior Authorization through CoverMyMeds or Subscripts. STIMULANTS AND RELATED AGENTS PRIOR AUTHORIZATION FORM (Form
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01
Read the instructions carefully to understand the dosage and administration of the stimulants and related agents.
02
Measure the correct amount of the medication using a syringe or measuring cup.
03
If required, mix the medication with water or any other liquid as specified in the instructions.
04
Administer the medication orally, following the recommended frequency and timing.
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If advised by a healthcare professional, take the medication with food or milk to avoid stomach upset.
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Store the medication in a cool and dry place, away from direct sunlight or heat.
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Keep the medication out of reach of children and pets.
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Follow up with your healthcare provider for any concerns or side effects.

Who needs stimulants and related agents?

01
Stimulants and related agents are commonly prescribed for individuals diagnosed with attention deficit hyperactivity disorder (ADHD).
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These medications can also be prescribed to people with chronic fatigue syndrome, narcolepsy, and certain types of obesity.
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However, it is important to consult with a healthcare professional to determine if stimulants and related agents are suitable for your specific condition.
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Stimulants and related agents are substances that enhance alertness, attention, and energy by increasing the activity of certain neurotransmitters in the brain.
Individuals and organizations involved in the manufacturing, distributing, or prescribing of stimulant medications are typically required to file reports related to stimulants and related agents.
To fill out stimulants and related agents, gather all necessary information on the substances handled, report dosage forms and amounts, and submit the forms to the appropriate regulatory body as specified in the guidelines.
The purpose of stimulants and related agents is to manage attention disorders, increase concentration, and treat conditions such as narcolepsy, depression, and certain sleep disorders.
Report must include the type and quantity of substance, manufacturer details, prescription information, and any relevant patient data to ensure compliance with regulations.
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