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Prior Authorization Request Form for
semaglutide oral tablet (Rebels)USF HP Pharmacy Prior Authorization Form
To be completed by Requesting provider
7231 Parkway Drive, Suite 100, Hanover, MD 21076FAX
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How to fill out semaglutide oral tablet rybelsus
How to fill out semaglutide oral tablet rybelsus
01
Take semaglutide oral tablet Rybelsus exactly as prescribed by your doctor.
02
Take the tablet with or without food, but try to take it at the same time each day.
03
Swallow the tablet whole, do not crush, chew, or split it.
04
If you miss a dose, take it as soon as you remember, but do not take two doses at the same time.
05
Follow your doctor's instructions carefully and do not change your dose without consulting them first.
06
Contact your doctor if you experience any unusual or severe side effects.
Who needs semaglutide oral tablet rybelsus?
01
Semaglutide oral tablet Rybelsus is prescribed to adults with type 2 diabetes.
02
It is used to improve blood sugar control in combination with diet and exercise.
03
It is not recommended for use in patients with type 1 diabetes or diabetic ketoacidosis.
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What is semaglutide oral tablet rybelsus?
Semaglutide oral tablet Rybelsus is a medication used to improve blood sugar control in adults with type 2 diabetes.
Who is required to file semaglutide oral tablet rybelsus?
Patients who are prescribed semaglutide oral tablet Rybelsus are required to fill out the necessary paperwork.
How to fill out semaglutide oral tablet rybelsus?
Patients should carefully follow the instructions provided by their healthcare provider or pharmacist on how to properly fill out the semaglutide oral tablet Rybelsus.
What is the purpose of semaglutide oral tablet rybelsus?
The purpose of semaglutide oral tablet Rybelsus is to help improve blood sugar control in individuals with type 2 diabetes.
What information must be reported on semaglutide oral tablet rybelsus?
Patients may need to report their blood sugar levels, any side effects experienced, and any other relevant health information while taking semaglutide oral tablet Rybelsus.
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