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C. P. 3950 L is (EU BEC) G6V 8C6 Fax: 418-838-2134 1-877-838-2134 GROUP INSURANCE HEALTH CLAIMS PRIOR AUTHORIZATION REQUEST HYDROGEN (THYROTROPIN ALFA) Please read the instructions on the back of
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How to fill out thyrogen thyrotropin alfa
How to fill out thyrogen thyrotropin alfa:
01
Ensure that you have received proper instructions from your healthcare provider regarding the administration of thyrogen thyrotropin alfa.
02
Before starting, make sure the vial is at room temperature. To achieve this, you can leave the vial at room temperature for approximately 30 minutes.
03
Inspect the vial for any visible particles or discoloration. Do not use the vial if you notice any abnormalities.
04
Clean the rubber top of the vial with an alcohol swab and let it dry.
05
Using a syringe with a sterile needle, withdraw the recommended dose of thyrogen thyrotropin alfa into the syringe.
06
Carefully remove any air bubbles that may be present in the syringe by gently tapping it and pushing the plunger to expel the air.
07
Select an appropriate injection site, such as the thigh or abdomen, and clean the area with an alcohol swab.
08
Hold the skin taut around the injection site and insert the needle into the skin at a 90-degree angle, as instructed by your healthcare provider.
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Inject the thyrogen thyrotropin alfa slowly and steadily, following the recommended dosage.
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Once the entire dose has been administered, withdraw the needle and apply gentle pressure to the injection site with a cotton swab or sterile gauze.
11
Dispose of the used needle and syringe in a sharps container as per your local regulations.
Who needs thyrogen thyrotropin alfa?
01
Thyrogen thyrotropin alfa is commonly used in patients with thyroid cancer.
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It is specifically prescribed for those who are going to undergo certain diagnostic or treatment procedures related to their thyroid cancer, such as radioactive iodine testing or therapy.
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Thyrogen thyrotropin alfa helps enhance the accuracy of these procedures by temporarily suppressing the levels of thyroid-stimulating hormone (TSH).
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It is primarily used in patients who have had their thyroid gland surgically removed or who have a low iodine diet.
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Your healthcare provider will determine if you are a suitable candidate for thyrogen thyrotropin alfa based on your medical history and individual circumstances. It is important to follow their guidance and recommendations.
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What is thyrogen Thyrotropin alfa?
Thyrogen Thyrotropin alfa is a synthetic form of a hormone that is used to help diagnose certain thyroid conditions.
Who is required to file thyrogen Thyrotropin alfa?
Medical professionals and healthcare providers are required to administer and file reports for thyrogen Thyrotropin alfa.
How to fill out thyrogen Thyrotropin alfa?
Thyrogen Thyrotropin alfa should be filled out according to the specific instructions provided by the manufacturer and healthcare guidelines.
What is the purpose of thyrogen Thyrotropin alfa?
The purpose of thyrogen Thyrotropin alfa is to aid in the diagnosis and treatment of thyroid conditions.
What information must be reported on thyrogen Thyrotropin alfa?
Information such as patient details, dosage administered, date of administration, and any observed reactions or side effects must be reported on thyrogen Thyrotropin alfa.
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