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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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What is drug requested zurampic lesinurad?

Zurampic (lesinurad) is a medication used in combination with a xanthine oxidase inhibitor for the treatment of hyperuricemia associated with gout.

Who is required to file drug requested zurampic lesinurad?

Healthcare providers and pharmaceutical companies involved in the marketing and distribution of zurampic may be required to file a drug request.

How to fill out drug requested zurampic lesinurad?

To fill out the drug request, one must provide detailed information including patient medical history, dosage, and administration instructions, along with any supporting documentation.

What is the purpose of drug requested zurampic lesinurad?

The purpose of filing a drug request for zurampic is to ensure the medication is approved for use, to facilitate appropriate access for patients, and ensure compliance with regulations.

What information must be reported on drug requested zurampic lesinurad?

Information must include clinical data, pharmacological properties, efficacy and safety profile, proposed labeling, and any adverse event reporting.

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