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Policy (polatuzumab vedotinpiiq)Fax completed form to: (855) 8401678 If this is an URGENT request, please call (800) 8824462 (800.88.CHINA)PHYSICIAN INFORMATIONPATIENT INFORMATION* Physician Name: Specialty:*Due

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How to fill out polivy 140mg vial

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Step 1: Gather all the necessary supplies, including the Polivy 140mg vial, a sterile syringe, and alcohol swabs.

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Step 2: Wash your hands thoroughly with soap and water before starting the process.

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Step 3: Check the expiration date and integrity of the Polivy 140mg vial. Do not use if expired or if the packaging is damaged.

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Step 4: Clean the rubber stopper on top of the vial with an alcohol swab.

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Step 5: Take the sterile syringe and remove the protective cap. Pull back the plunger to draw in air equivalent to the amount of Polivy 140mg dose prescribed.

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Step 6: Insert the needle of the syringe through the rubber stopper on the vial and push down the plunger to inject the air into the vial.

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Step 7: Turn the vial upside down, keeping the needle tip inside the liquid, and slowly withdraw the prescribed dose of Polivy 140mg into the syringe.

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Step 8: Remove the syringe from the vial and carefully expel any air bubbles by gently tapping the syringe and pushing the plunger slightly to release them.

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Step 9: Double-check the accuracy of the dose in the syringe. If incorrect, repeat the process from step 5.

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Step 10: Prepare the injection site on the patient's body using an alcohol swab.

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Step 11: Slowly inject the Polivy 140mg dose into the patient's body as instructed by a healthcare professional.

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Step 12: Dispose of the used syringe and vial properly according to the local regulations for medical waste.

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Step 13: Wash your hands again thoroughly after completing the process.

Who needs polivy 140mg vial?

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Polivy 140mg vial is a prescription medication used for the treatment of certain types of lymphoma, specifically relapsed or refractory diffuse large B-cell lymphoma (DLBCL).

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It is administered to patients who have failed at least two prior lines of systemic therapy, including an anti-CD20 monoclonal antibody and chemotherapy.

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Only patients who meet these specific criteria and have been prescribed Polivy 140mg vial by their healthcare provider are the ones who need it.

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What is polivy 140mg vial?

Polivy 140mg vial is a medication that contains the active ingredient polatuzumab vedotin, which is used to treat certain types of B-cell non-Hodgkin lymphoma.

Who is required to file polivy 140mg vial?

Healthcare providers and institutions that administer Polivy are typically required to file the necessary documentation related to its usage.

How to fill out polivy 140mg vial?

To fill out a Polivy 140mg vial, it is essential to follow the manufacturer's guidelines, ensuring proper preparation and handling of the medication prior to administration.

What is the purpose of polivy 140mg vial?

The purpose of Polivy 140mg vial is to provide treatment for patients with relapsed or refractory diffuse large B-cell lymphoma, often in combination with other therapies.

What information must be reported on polivy 140mg vial?

Information that must be reported includes the patient's details, dosage administered, date of administration, and any adverse reactions observed.

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