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OPTIMA HEALTH PLAN PHARMACY PRIOR AUTHORIZATION/STEPPED REQUEST* Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other information
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01
Read the instructions provided with the grastek timothy grass pollen medication.
02
Take the medication at the recommended dosage as prescribed by your healthcare provider.
03
Typically, grastek timothy grass pollen is taken orally by placing the tablet under the tongue.
04
Allow the tablet to dissolve completely under your tongue without swallowing it.
05
Do not eat or drink anything for at least 5 minutes after taking the medication.
06
Follow the recommended dosing schedule and duration of treatment as advised by your doctor.
07
If you have any questions or concerns about using grastek timothy grass pollen, consult your healthcare provider.

Who needs grastek timothy grass pollen?

01
Grastek timothy grass pollen is typically prescribed for individuals who have been diagnosed with grass pollen-induced allergic rhinitis.
02
It is specifically used for patients who have demonstrated a positive skin test or a positive blood test to Timothy grass pollen allergens.
03
This medication may be recommended for individuals who experience symptoms such as sneezing, runny nose, itching eyes, and nasal congestion due to grass pollen allergies.
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Grastek is a sublingual immunotherapy treatment that contains allergens derived from Timothy grass pollen, used to treat allergic rhinitis caused by grass pollen.
Individuals who are diagnosed with grass pollen allergies and are prescribed Grastek by a healthcare provider are required to file for treatment.
Filling out Grastek involves following a prescription provided by your healthcare professional and adhering to the recommended dosing schedule.
The purpose of Grastek is to desensitize patients to Timothy grass pollen allergens, reducing allergy symptoms during the grass pollination season.
Patients must report their allergy history, any previous reactions to allergens, and compliance with the treatment regimen to their healthcare provider.
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