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Prior Authorization Request Form Fax Back To: (866) 9407328 Phone: (800) 3106826 Specialty Medication Prior Authorization Cover Sheet (This cover sheet should be submitted along with a Pharmacy Prior
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Xpovio is a brand name for the drug selinexor, which is used in the treatment of certain types of cancers, specifically multiple myeloma and other hematologic malignancies. It is approved by the FDA for specific indications and is often prescribed when patients have received other treatments.
Patients receiving treatment with Xpovio may need to file certain forms related to their medical records or insurance coverage, depending on the treatment protocols established by healthcare providers and insurance guidelines.
Filling out forms related to Xpovio would typically involve completing sections that detail patient information, treatment history, insurance details, and any relevant medical information as instructed by healthcare providers.
The purpose of Xpovio is to treat patients with multiple myeloma or solid tumors by inhibiting the growth of cancer cells and improving overall survival rates when used in combination with other therapies.
Important information to report may include patient demographics, diagnosis, treatment regimen, dosage, response to therapy, and any side effects experienced.
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