Get the free Drug Requested: (alirocumab) Injection

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

How to fill out drug requested alirocumab injection

How to fill out drug requested alirocumab injection

1. Wash your hands thoroughly with soap and water before handling the alirocumab injection.
2. Check the expiration date on the box and vial. Do not use if expired.
3. Inspect the solution visually for any discoloration or particles. Do not use if the solution is cloudy, discolored, or contains particles.
4. Clean the injection site with an alcohol swab and allow it to dry.
5. Remove the plastic cap from the vial and wipe the rubber stopper with an alcohol swab.
6. Take a syringe and remove the protective cap. Attach the needle firmly to the syringe.
7. Draw air into the syringe by pulling back the plunger to the appropriate dose.
8. Insert the needle into the vial and push the plunger to inject the air into the vial.
9. Keeping the needle in the vial, turn it upside down and slowly pull back the plunger to withdraw the required dose.
10. Remove any air bubbles from the syringe by gently tapping the barrel and pushing the plunger to expel the air.
11. Remove the needle from the vial and replace the protective cap.
12. Pinch the injection site and insert the needle into the skin at a 90-degree angle.
13. Slowly push the plunger to inject the alirocumab. Do not remove the needle yet.
14. Wait for 10 seconds before removing the needle from the skin.
15. Dispose of the used needle and syringe in a puncture-proof container.
16. Apply gentle pressure to the injection site with a cotton ball or gauze pad.
17. Dispose of all unused medication properly.
18. Wash your hands again after handling the alirocumab injection.

Who needs drug requested alirocumab injection?

1. Alirocumab injection is typically prescribed for individuals who have high cholesterol levels and are at a high risk of cardiovascular events such as heart attack or stroke.
2. It is commonly used in patients who have not achieved their desired cholesterol levels through diet and exercise alone or who cannot tolerate other cholesterol-lowering medications.
3. Your healthcare provider will determine if alirocumab injection is appropriate for you based on your medical history, cholesterol levels, and individual risk factors.

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What is drug requested alirocumab injection?

Alirocumab injection is a monoclonal antibody that lowers cholesterol levels by inhibiting PCSK9, thereby increasing the liver's ability to remove LDL cholesterol from the blood.

Who is required to file drug requested alirocumab injection?

Health care providers, pharmacies, and patients requesting alirocumab for treatment purposes need to file the appropriate paperwork.

How to fill out drug requested alirocumab injection?

Fill out the drug request form with patient information, prescribing details, dosage, administration route, and any necessary medical history or justification for use.

What is the purpose of drug requested alirocumab injection?

The purpose of filing a drug request for alirocumab injection is to obtain approval for its use in lowering high cholesterol levels in patients at high risk of cardiovascular disease.

What information must be reported on drug requested alirocumab injection?

Information required includes patient identification details, prescription details, drug dosage, administration frequency, and relevant medical history.