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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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Savaysa is a prescription medication used as an anticoagulant for the prevention of stroke and blood clots in patients with certain conditions, such as atrial fibrillation.
Healthcare providers, pharmacies, and manufacturers may be required to file information related to the drug requested savaysa, particularly those involved in prescribing, dispensing, and reporting prescribing data.
Filling out the drug requested savaysa typically involves providing accurate patient information, details about the prescribing healthcare provider, dosage information, and any relevant medical history or conditions.
The purpose of drug requested savaysa is to ensure proper tracking of the use of anticoagulant medications, monitor patient safety, and facilitate appropriate treatment for patients with a risk of thromboembolic events.
Required information includes patient details, prescribing physician's information, medication dosage, purpose of the prescription, and any previous medications the patient has been prescribed.
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