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Get the free (diclofenac 3% gel) Prior Authorization Request Form (Page 1 of 2)

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Optimal has partnered with CoverMyMeds to receive prior authorization requests, saving you time and often delivering real-time determinations. Visit go.covermymeds.com/OptumRx to begin using this
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How to fill out diclofenac 3 gel prior

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Wash your hands thoroughly before using the gel.
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Squeeze a small amount of gel onto your fingertip.
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Apply the gel to the affected area, gently rubbing it in until it is absorbed.
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Do not cover the area with bandages or dressings unless instructed by your doctor.
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Wash your hands after applying the gel, unless your hands are the area being treated.
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Use diclofenac gel as directed by your doctor or as instructed on the packaging.
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Do not use more than the recommended dose or apply it more often than directed.
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Diclofenac 3 gel is commonly used by individuals with conditions such as arthritis, tendonitis, sprains, or strains that cause pain and inflammation in the muscles or joints.
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Diclofenac 3 gel is a topical nonsteroidal anti-inflammatory drug (NSAID) used for the relief of pain and inflammation associated with conditions such as arthritis, muscle aches, and other localized pain.
Healthcare providers or organizations that wish to prescribe or dispense diclofenac 3 gel for patients may be required to file specific documentation with relevant health authorities or insurance providers.
Filling out a diclofenac 3 gel prior authorization usually involves providing patient information, diagnosis codes, treatment history, and the reason for requesting the medication, often using a specific form provided by the insurance company.
The purpose of diclofenac 3 gel prior authorization is to ensure that the prescribed medication is medically necessary and to assess coverage options by the insurance provider before treatment begins.
Information that must be reported typically includes patient demographic information, diagnosis, previous treatments tried, expected treatment outcomes, and any relevant medical history.
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