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Response (inotuzumab ozogamicin)
Medication Recertification RequestAetna Recertification Notification
Phone: 18667527021
FAX:
18882673277Page 1 of 2
(All fields must be completed and legible for Recertification
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How to fill out besponsa inotuzumab ozogamicin medication
How to fill out besponsa inotuzumab ozogamicin medication
01
Follow the instructions provided by your healthcare provider.
02
The medication is usually given as an intravenous infusion, which means it is injected into a vein.
03
The exact dosage and treatment schedule will be determined by your healthcare provider.
04
It is important to receive the medication on time and as directed by your healthcare provider.
05
Make sure to report any side effects or concerns to your healthcare provider.
06
Take any additional medications or precautions as prescribed by your healthcare provider.
07
Keep all scheduled appointments for follow-up visits and blood tests.
08
Store the medication as instructed, usually at room temperature away from direct sunlight and moisture.
Who needs besponsa inotuzumab ozogamicin medication?
01
Besponsa inotuzumab ozogamicin medication is typically prescribed for adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL).
02
It may also be used for patients who have received at least one prior therapy for their condition.
03
Your healthcare provider will assess your specific medical history and condition to determine if besponsa inotuzumab ozogamicin medication is appropriate for you.
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What is besponsa inotuzumab ozogamicin medication?
Besponsa (inotuzumab ozogamicin) is a medication used in the treatment of certain types of acute lymphoblastic leukemia (ALL). It is an antibody-drug conjugate that targets CD22 positive cancer cells.
Who is required to file besponsa inotuzumab ozogamicin medication?
Healthcare providers and institutions that administer besponsa inotuzumab ozogamicin medication are required to file documentation related to its use.
How to fill out besponsa inotuzumab ozogamicin medication?
Filling out besponsa inotuzumab ozogamicin medication involves providing patient-specific information, dosage details, administration routes, and any relevant clinical notes in accordance with medical standards.
What is the purpose of besponsa inotuzumab ozogamicin medication?
The purpose of besponsa inotuzumab ozogamicin medication is to treat adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL), specifically those with CD22 positive cells.
What information must be reported on besponsa inotuzumab ozogamicin medication?
Information that must be reported includes patient demographics, treatment regimen, response to therapy, any adverse effects experienced, and follow-up data.
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