Get the free Drug Requested: Gilotrif (afatinib)
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OPTIMA HEALTH COMMUNITY CARE
AND
OPTIMA FAMILY CARE
(MEDICAID)
PHARMACY PRIOR AUTHORIZATION/STEPPED REQUEST*
Directions: The prescribing physician must sign and clearly print name (preprinted stamps
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How to fill out drug requested gilotrif afatinib
How to fill out drug requested gilotrif afatinib
01
Start by reading the instructions provided with the drug Gilotrif Afatinib.
02
Take note of the prescribed dosage and frequency of intake mentioned in the prescription.
03
Wash your hands thoroughly to maintain hygiene.
04
Open the packaging of Gilotrif Afatinib and remove one tablet from the blister pack.
05
Place the tablet on your tongue and swallow it with a glass of water. Do not crush or chew the tablet.
06
If the prescribed dosage is more than one tablet, repeat step 4 and 5 as directed by your healthcare professional.
07
Take Gilotrif Afatinib with or without food, depending on the instructions provided by your doctor.
08
Do not skip or miss any doses, and try to take the medication at the same time each day for better effectiveness.
09
If you accidentally miss a dose, take it as soon as you remember unless it is close to the time for your next scheduled dose.
10
Do not double the dose to make up for the missed one.
11
If you experience any unusual or severe side effects while taking Gilotrif Afatinib, contact your healthcare provider immediately.
12
Store the medication in a cool, dry place away from direct heat and sunlight.
13
Keep the medication out of the reach of children and pets.
14
Dispose of any unused or expired medication properly according to local regulations.
Who needs drug requested gilotrif afatinib?
01
Gilotrif Afatinib is a targeted therapy medication used in the treatment of certain types of lung cancer.
02
It is usually prescribed to adult patients who have been diagnosed with non-small cell lung cancer (NSCLC) that has specific genetic mutations.
03
Patients with epidermal growth factor receptor (EGFR) mutation-positive NSCLC may benefit from Gilotrif Afatinib treatment.
04
However, the decision to prescribe Gilotrif Afatinib and determine the suitability of the medication for an individual patient should be made by a qualified healthcare professional based on various factors including the specific type and stage of lung cancer and the patient's overall health condition.
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What is drug requested gilotrif afatinib?
Gilotrif (afatinib) is a medication used to treat non-small cell lung cancer that is positive for specific mutations in the epidermal growth factor receptor (EGFR).
Who is required to file drug requested gilotrif afatinib?
Healthcare providers, such as oncologists, and hospitals that prescribe or dispense gilotrif afatinib are typically required to file the necessary documentation.
How to fill out drug requested gilotrif afatinib?
To fill out the request for gilotrif afatinib, healthcare providers should follow the provided forms and guidelines, ensuring that all patient and treatment information is accurately completed.
What is the purpose of drug requested gilotrif afatinib?
The purpose of the drug request for gilotrif afatinib is to obtain approval for its use in treating patients with certain types of non-small cell lung cancer.
What information must be reported on drug requested gilotrif afatinib?
The report must include patient information, treatment history, the reason for requesting gilotrif afatinib, and any relevant medical records.
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