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Get the free Drug Requested: (dextromethorphan hydrobromide and sulfate)

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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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Read the instructions on the drug label carefully.
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Determine the appropriate dosage based on your age and the severity of your symptoms.
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Measure the correct amount of dextromethorphan hydrobromide using a measuring device provided with the medication.
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If the medication is in liquid form, shake the bottle well before measuring the dose.
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Take the medication orally, either with or without food, as directed by your doctor or pharmacist.
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If you are taking the medication in tablet or capsule form, swallow it whole with a glass of water.
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If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule.
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If you have any questions or concerns about how to fill out the drug, consult your healthcare provider or pharmacist.

Who needs drug requested dextromethorphan hydrobromide?

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Dextromethorphan hydrobromide is commonly used for the temporary relief of cough caused by common colds, bronchitis, or other respiratory tract infections.
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Individuals who experience persistent or severe coughing may benefit from using dextromethorphan hydrobromide as recommended by a healthcare professional.
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However, it is important to consult with a doctor or pharmacist before using this medication, as they can assess your specific condition and provide appropriate guidance.
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Dextromethorphan hydrobromide is a medication commonly used as a cough suppressant in over-the-counter cold and cough medicines.
Pharmaceutical manufacturers and distributors involved in the production and sale of products containing dextromethorphan hydrobromide must file the necessary requests.
The filing process typically requires completing a specific form provided by the regulatory body, detailing the product information, dosage, intended use, and compliance with safety standards.
The purpose is to ensure proper regulation and oversight of the use of dextromethorphan hydrobromide, monitoring its safety, efficacy, and controlled distribution.
Information such as the product name, ingredients, concentration, manufacturing processes, quality control measures, labeling, and any clinical trial data must be reported.
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