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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 idhifa enasidenib

01
Step 1: Obtain the prescription for Idhifa Enasidenib from a licensed healthcare provider.
02
Step 2: Visit a licensed pharmacy or healthcare facility where Idhifa Enasidenib is stocked.
03
Step 3: Provide the pharmacist or healthcare professional with the prescription for Idhifa Enasidenib.
04
Step 4: Follow any additional instructions provided by the pharmacist or healthcare professional regarding the drug.
05
Step 5: Take Idhifa Enasidenib exactly as prescribed by your healthcare provider, including dose and frequency.
06
Step 6: Store Idhifa Enasidenib as instructed on the packaging or as advised by your healthcare provider.
07
Step 7: If you have any questions or concerns about taking Idhifa Enasidenib, consult your healthcare provider.

Who needs drug requested idhifa enasidenib?

01
Idhifa Enasidenib is prescribed for adults with relapsed or refractory acute myeloid leukemia (AML) with an isocitrate dehydrogenase-2 (IDH2) mutation.
02
It is important to note that only a licensed healthcare provider can determine whether Idhifa Enasidenib is appropriate and necessary for a patient's specific condition.
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Idhifa (enasidenib) is a medication used to treat acute myeloid leukemia (AML) in adult patients with certain genetic mutations.
Healthcare professionals and institutions involved in prescribing or administering Idhifa must file any relevant drug requests.
To fill out the drug request for Idhifa, complete the provided forms with patient information, dosage, prescribing physician details, and any required supporting documentation.
The purpose of the drug request for Idhifa is to obtain prior authorization for the dispensing of the medication for treating patients with appropriate AML.
Required information includes patient demographics, diagnosis, treatment plan, physician details, and any previous treatments.
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